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European Archives of Oto-Rhino-Laryngology

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01-04-2021 | Glottic Carcinoma | Laryngology

High-speed videolaryngoscopy in early glottic carcinoma patients following transoral CO₂ LASER cordectomy

Authors: Sachin Gandhi, Subash Bhatta, Dushyanth Ganesuni, Asheesh Dora Ghanpur, Shraddha Jayant Saindani

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2021

Abstract

Purpose

To compare high-speed videolaryngoscopy (HSV) findings, like open quotient (OQ), vocal fold vibratory onset delay (VFVOD), amplitude symmetry index (ASI) and phase symmetry index (PSI), after 6 months of cordectomy with that after 1 year, and to compare later with the control group.

Methods

Retrospective analysis of HSV recordings of 33 patients of early glottic carcinoma after cordectomy was performed after 6 months and 1 year of cordectomy with the help of videokymogram and digital kymogram. The control group of ten individuals was selected from patients who came to hospital with complaints other than larynx. The comparison was done for different types of cordectomy separately.

Results

The mean of OQ, VFVOD, ASI and PSI was found to be significantly higher after 6-month follow-up than after 1-year follow-up, the later was in turn found to be significantly higher than that of the control group, for type II and III cordectomy. The mean of OQ, VFVOD, ASI and PSI for other types of cordectomy also showed similar results, but the significance was not calculated due to less sample size.

Conclusion

There was significant improvement in OQ, VFVOD, PSI and ASI following CO₂ LASER cordectomy after 1 year of follow-up, making it a good management option for early glottic carcinoma. The ability of the HSV to measure variations in the vocal cord vibration, following cordectomy, was well established by this study.

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Title: High-speed videolaryngoscopy in early glottic carcinoma patients following transoral CO2 LASER cordectomy
Authors: Sachin Gandhi
Subash Bhatta
Dushyanth Ganesuni
Asheesh Dora Ghanpur
Shraddha Jayant Saindani
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Glottic Carcinoma
CO2 Laser
Published in: European Archives of Oto-Rhino-Laryngology / Issue 4/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06433-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

High-speed videolaryngoscopy in early glottic carcinoma patients following transoral CO₂ LASER cordectomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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