레이저절제술을 받은 조기성문암 환자의 음성평가

문효성; 최소희; 이형신; 홍종철; 한영진; 김경아; 이강대

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자료유형: 학술저널

저자정보: 문효성 최소희 이형신 홍종철 한영진 김경아 이강대

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제51권 제3호

발행연도: 2008.1

수록면: 250 - 255 (6page)

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Voice quality may be an important issue for choosing treatment options of early glottic cancer. It has been reported that voice quality is worse after laser cordectomy compared to that of radiation therapy. But, with developed visualization tools, the precise localization of lesions became possible enabling surgeons to decide the appropriate surgical extent to preserve voice after laser cordectomy. The authors assessed the postoperative voice quality of patients who underwent laser cordectomy according to the classification by the European Laryngological Society. Subjects and Method：Thirty patients who were diagnosed with glottic cancer and treated with laser cordectomy between April, 1999 and January, 2006, were evaluated. All the patients were followed-up more than 6 months. Objective evaluations included maximal phonation time, fundamental frequency, jitter, shimmer, noise-to-harmonics ratio and subjective evaluation was performed by the GRBAS scale. Results：The type II laser cordectomy group and some cases of the type III cordectomy showed no significant differences compared with the normal control group in both objective and subjective evaluations. Conclusion：This study shows that the group of laser cordectomy type II and some cases of type III had acceptable results compared to that of the normal control group. Thus, laser cordectomy could be considered as an alternative to radiation therapy in selected patients with early glottic cancer, even when preserving the quality of voice is an important issue. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:250-5)

#Glottic cancer·Laser resection·Voice quality

참고문헌 (20)

참고문헌 신청

Benninger MS / 1994 / Factors associated with recurrence and voice quality following radiation therapy for T1 and T2 glottic carcinomas / Laryngoscope 104 (3) : 294 ~ 298

Bless DM / 1987 / Videostroboscopic evaluation of the larynx / Ear Nose Throat J 66 (7) : 289 ~ 296

Epstein BE / 1990 / Stage T1 glottic carcinoma: Results of radiation therapy or laser excision / Radiology 175 (2) : 567 ~ 570

Haddad L / 2006 / Vocal assessment in patients submited to CO2 laser cordectomy / Rev Bras Otorinolaringol 72 (3) : 295 ~ 301

Hirano M / 1985 / Vocal function following carbon dioxide laser surgery for glottic carcinoma / Ann Otol Rhinol Laryngol 94 (3) : 232 ~ 235

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