The Outcome of the Correction of Anterior Vocal Cord Web by Flap Technique using Real Anterior Vocal Cord Base in Frontolateral Laryngectomy in Patients with Glottis Cancer

Ahmadi, Aslan; Ghanbari, Hadi; Salem, Mohammad Mehdi; Milani Fard, Amir Mohammad; Barkhordari, Khosro

doi:10.22034/EJST.2022.4.4

Document Type : Original Research Article

Authors

¹ Associated Professor, ENT and Head &Neck Research Center, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran

² ENT and Head & Neck Research center, The Five Senses Institute & Department of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

³ ENT and Head &Neck Research center, The Five senses Institute, Iran University of Medical Sciences, Tehran Iran

https://doi.org/10.22034/EJST.2022.4.4

Abstract

Background: Due to the lack of interventional studies on the change in sound quality of patients suffering laryngeal cancer after partial frontolateral laryngectomy and anterior TVC reconstruction using laser, we aimed to assess the extent of changes in sound quality after correction of anterior vocal cord web by flap technique using TVC base in frontolateral laryngectomy by voice handicap index (VHI) and voice analysis factors in patients with glottic cancer.

Methods: In this interventional case series study, 15 consecutive patients with laryngeal carcinoma undergoing partial frontolateral laryngectomy by laser at Hazrat Rasool Akram Hospital between 2017 and 2019 suffering anterior adhesion of vocal cords were entered in final evaluation. All patients underwent microlaryngeal flap surgery to improve sound quality. The anterior web of larynx was dissected with a 6-watt super pulse CO2 laser.

Results: The vocal analysis before and after operation showed a significantly improving vocal quality parameters including Habitual F0, Jitter, Shimmer, Tremor F0, Mean F0, SD F0, Max F0, NNE, HNR, SNR, Ratio, Hoarse score, Harsh, and breathy after surgery as compared to before that. The scores for three emotional, physical, and functional components of VHI all significantly improved after operation.

Conclusion: The correction of anterior vocal cord web by flap technique using TVC base in frontolateral laryngectomy leads to favorable outcome regarding vocal quality and voice performance in patients suffering glottic cancer

Graphical Abstract

Keywords

Main Subjects

Clinical Medicine

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Eurasian Journal of Science and Technology

The Outcome of the Correction of Anterior Vocal Cord Web by Flap Technique using Real Anterior Vocal Cord Base in Frontolateral Laryngectomy in Patients with Glottis Cancer

References

References

Volume 2, Issue 4
October 2022
Pages 255-260

The Outcome of the Correction of Anterior Vocal Cord Web by Flap Technique using Real Anterior Vocal Cord Base in Frontolateral Laryngectomy in Patients with Glottis Cancer

References

References

Volume 2, Issue 4October 2022Pages 255-260

Volume 2, Issue 4
October 2022
Pages 255-260