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Indian Journal of Otolaryngology and Head & Neck Surgery

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24-11-2022 | Dysphonia | Original Article

Multidimensional Voice Assessment After Management of Early Laryngeal Cancer: A Comparative Study

Authors: Arezoo Hasanvand, Akbar Darouie, Samira Aghadoost, Payman Dabirmoghaddam, Enayatollah Bakhshi

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 2/2023

Abstract

Laryngeal Squamous Cell Carcinoma is one of the most common head and neck cancers, and patients experience dysphonia after treatment with transoral laser microsurgery (TLM) or radiotherapy (RT). This study aimed to investigate the multidimensional assessment of voice, based on objective and subjective evaluation. In this cross-sectional study, a group of 120 patients (mean = 57.59 years, SD = 4.87), including men (n = 116) and women (n = 4) with early laryngeal carcinoma, were divided into two groups; Patients who had undergone TLM (n = 60) or RT (n = 60). The multidimensional assessment of voice was conducted using the acoustic analysis, the dysphonia severity index (DSI), the Persian versions of Consensus Auditory Perceptual Evaluation of Voice, and the voice handicap index (VHI). Results revealed that objective voice assessment only shows differences (P < 0.001) in the DSI between TLM and RT groups, despite there being no significant differences (P = 0.196) in overall severity of voice disorder in comparison between them. Also, there is a significant difference (P < 0.05) based on the Emotional subscale of VHI, between irradiated and TLM-treated patients. This finding showed that TLM-treated patients with early laryngeal carcinoma had severe voice disorder compared to irradiated patients. In addition, radiotherapy has a greater impact on the emotions of patients with early glottic cancer.

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Title: Multidimensional Voice Assessment After Management of Early Laryngeal Cancer: A Comparative Study
Authors: Arezoo Hasanvand
Akbar Darouie
Samira Aghadoost
Payman Dabirmoghaddam
Enayatollah Bakhshi
Publication date: 24-11-2022
Publisher: Springer India
Keywords: Dysphonia
Radiotherapy
Laryngeal Cancer
Dysphonia
Laryngeal Cancer
Laser
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 2/2023
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-022-03268-x

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Springer Medicine

Multidimensional Voice Assessment After Management of Early Laryngeal Cancer: A Comparative Study

Abstract

Keynote webinar | Spotlight on medication adherence

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