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성문암에서 레이저 성대절제술 후의 음성 및 삶의 질 평가

Voice Outcome and Quality of Life after Laser Cordectomy in Glottic Cancer

김경래|지용배|윤보람|송창면|태경|곽민규
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2014.06|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제57권 제6호|pp. 390-395|DOI http://dx.doi.org/10.3342/kjorl-hns.2014.57.6.390

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키워드

Quality of lifeVoiceMicrosurgeryLaryngeal neoplasms
주제분류이비인후과학

초록

Background and Objectives Laser cordectomy is considered one of the best techniques for the treatment of early stage glottic cancer. But voice outcome and quality of life (QOL) after laser cordectomy is controversial. The aim of this study is to evaluate the voice outcome after laser cordectomy in glottic cancer and its association to QOL. Subjects and Method 43 patients who underwent laser cordectomy from January 2002 to December 2008 were enrolled in this study. We evaluated the objective and subjective voice outcomes using acoustic analysis, aerodynamic study and voice handicap index (VHI). We also assessed QOL using EORTC QLQ-C30/H&N35 questionnaire. We compared the voice outcome according to the type of laser cordectomy and analyzed correlation between voice outcome and QOL. Results Harmonic to noise ratio, maximum phonation time and VHI of patients treated with Types I, II cordectomy was significantly improved after operation. Functional VHI after Types I, II cordectomy was significantly lower than Types III-VI cordectomy. The postoperative QOL score of glottic cancer patients were not statistically different between Type I, II and Type III-VI cordectomy. QOL score had a positive correlation with postoperative VHI. Conclusion Objective and subjective voice outcomes after laser cordectomy showed favorable results, especially in patients who were treated with Types I, II laser cordectomy. QOL scores were correlated with VHI scores, but not with acoustic parameters. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(6):390-5

Abstract

Background and Objectives Laser cordectomy is considered one of the best techniques for the treatment of early stage glottic cancer. But voice outcome and quality of life (QOL) after laser cordectomy is controversial. The aim of this study is to evaluate the voice outcome after laser cordectomy in glottic cancer and its association to QOL. Subjects and Method 43 patients who underwent laser cordectomy from January 2002 to December 2008 were enrolled in this study. We evaluated the objective and subjective voice outcomes using acoustic analysis, aerodynamic study and voice handicap index (VHI). We also assessed QOL using EORTC QLQ-C30/H&N35 questionnaire. We compared the voice outcome according to the type of laser cordectomy and analyzed correlation between voice outcome and QOL. Results Harmonic to noise ratio, maximum phonation time and VHI of patients treated with Types I, II cordectomy was significantly improved after operation. Functional VHI after Types I, II cordectomy was significantly lower than Types III-VI cordectomy. The postoperative QOL score of glottic cancer patients were not statistically different between Type I, II and Type III-VI cordectomy. QOL score had a positive correlation with postoperative VHI. Conclusion Objective and subjective voice outcomes after laser cordectomy showed favorable results, especially in patients who were treated with Types I, II laser cordectomy. QOL scores were correlated with VHI scores, but not with acoustic parameters. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(6):390-5

참고문헌 (22)

  1. Mendenhall WM, "Head and neck cancer", pp.352~380 (2004), Lippincott Williams & Wilkins
  2. Cragle SP, "Laser cordectomy or radiotherapy: cure rates, communication, and cost", Otolaryngol Head Neck Surg, 108(6), pp.648~654 (1993)
  3. de Campora E, "External versus endoscopic approach in the surgical treatment of glottic cancer", Eur Arch Otorhinolaryngol, 258(10), pp.533~536 (2001)
  4. Shah JP, "Patterns of care for cancer of the larynx in the United States", Arch Otolaryngol Head Neck Surg, 123(5), pp.475~483 (1997)
  5. Rydell R, "Voice evaluation before and after laser excision vs. radiotherapy of T1A glottic carcinoma", Acta Otolaryngol, 115(4), pp.560~565 (1995)
  6. Epstein BE, "Stage T1 glottic carcinoma: results of radiation therapy or laser excision", Radiology, 175(2), pp.567~570 (1990)
  7. Rosier JF, "Comparison of external radiotherapy, laser microsurgery and partial laryngectomy for the treatment of T1N0M0 glottic carcinomas: a retrospective evaluation", Radiother Oncol, 48(2), pp.175~183 (1998)
  8. Gallo A, "CO2 laser cordectomy for early-stage glottic carcinoma: a long-term follow-up of 156 cases", Laryngoscope, 112(2), pp.370~374 (2002)
  9. Casiano RR, "Laser cordectomy for T1 glottic carcinoma: a 10-year experience and videostroboscopic findings", Otolaryngol Head Neck Surg, 104(6), pp.831~837 (1991)
  10. Remacle M, "Proposal for revision of the European Laryngological Society classification of endoscopic cordectomies", Eur Arch Otorhinolaryngol, 264(5), pp.499~504 (2007)
  11. Strong MS, "Laser surgery in the larynx. Early clinical experience with continuous CO2 laser", Ann Otol Rhinol Laryngol, 81(6), pp.791~798 (1972)
  12. Lee JH, "Radiotherapy with 6-megavolt photons for early glottic carcinoma: potential impact of extension to the posterior vocal cord", Am J Otolaryngol, 22(1), pp.43~54 (2001)
  13. Terhaard CH, "Radiotherapy in T1 laryngeal cancer: prognostic factors for locoregional control and survival, uni- and multivariate analysis", Int J Radiat Oncol Biol Phys, 21(5), pp.1179~1186 (1991)
  14. Pellitteri PK, "Radiotherapy. The mainstay in the treatment of early glottic carcinoma", Arch Otolaryngol Head Neck Surg, 117(3), pp.297~301 (1991)
  15. Eckel HE, "Local recurrences following transoral laser surgery for early glottic carcinoma: frequency, management, and outcome", Ann Otol Rhinol Laryngol, 110(1), pp.7~15 (2001)
  16. Steiner W, "Results of curative laser microsurgery of laryngeal carcinomas", Am J Otolaryngol, 14(2), pp.116~121 (1993)
  17. 태경, "조기 성무암종에서 경구강 CO₂레이저 성대절제술의 의의", 대한이비인후과학회지 두경부외과학, 49(5), pp.538~542 (2006), 대한이비인후과학회
  18. 이환호, "성문암 1병기에 대한 레이저 성대절제술 및 술후 음성 분석", 대한이비인후과학회지 두경부외과학, 45(8), pp.805~810 (2002), 대한이비인후과학회
  19. 문효성, "레이저절제술을 받은 조기성문암 환자의 음성평가", 대한이비인후과학회지 두경부외과학, 51(3), pp.250~255 (2008), 대한이비인후과학회
  20. Delsupehe KG, "Voice quality after narrow-margin laser cordectomy compared with laryngeal irradiation", Otolaryngol Head Neck Surg, 121(5), pp.528~533 (1999)
  21. Bahannan AA, "Quality of life following endoscopic resection or radio-therapy for early glottic cancer", Saudi Med J, 28(4), pp.598~602 (2007)
  22. Loughran S, "Quality of life and voice following endoscopic resection or radiotherapy for early glottic cancer", Clin Otolaryngol, 30(1), pp.42~47 (2005)

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