Long‐term voice outcomes and quality of life after open partial horizontal laryngectomy type II vs. total laryngectomy: A cross‐sectional study. (5th March 2022)

• Record Type: Journal Article
• Authors: D'Alatri, Lucia; Longobardi, Ylenia; Parrilla, Claudio; Crudo, Fabrizio; Oliveto, Giuseppe; Mari, Giorgia; Marchese, Maria Raffaella; Passali, Giulio Cesare; Ausili Cefaro, Carolina; Paludetti, Gaetano; Galli, Jacopo
• Is Part Of: Clinical otolaryngology. Volume 47:Number 3(2022)
• Page Start: 464
• Page End: 470
• Publication Date: 2022-03-05
• Subjects: advanced laryngeal cancer -- outcomes -- partial laryngectomy -- quality of life -- rehabilitation; Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1111/coa.13924
• Languages: English
• ISSNs: 1749-4478

Abstract

Abstract: Objectives: We aim to analyse long‐term voice outcomes and quality of life (QoL) in patients undergoing open partial horizontal laryngectomy type II (OPHL type II) and to compare them to those obtained by patients undergoing total laryngectomy (TL) with voice prosthesis (VP). Design: Cross‐sectional cohort study. Setting: Patients undergoing surgery for advanced laryngeal cancer, assessed during the usual follow‐up consultations at the Phoniatric Unit (February 2020‐December 2020). Participants: Forty‐five patients were enrolled and divided into two groups: OPHL group and TL group. Main outcomes measures: Acoustic analysis, maximum phonation time, INFV0 scale, I‐SECEL, UW‐QoL‐V4 and MDADI questionnaires were used to assess the long‐term outcomes. Results: Voices of patients undergoing OPHL Type II were worse than those of laryngectomised patients with VP. Nevertheless, scores in voice and dysphagia‐related QoL were comparable and scores in the social domain of QoL were higher in OPHL group. Conclusions: Open partial horizontal laryngectomy Type II allows an acceptable voice recovery and a satisfactory QoL.