Long-term functional results after open partial horizontal laryngectomy type IIa and type IIIa: A comparison study

Antonio Schindler, Nicole Pizzorni, Marco Fantini, Erika Crosetti, Andy Bertolin, Giuseppe Rizzotto, Giovanni Succo

Research output: Contribution to journalArticle

Abstract

Background: The purpose of this study was to compare long-term swallowing, voice results, and quality of life (QOL) after open partial horizontal laryngectomy (OPHL) type IIa and type IIIa. Methods: Twenty-three patients after OPHL type IIa and 18 patients after OPHL type IIIa were involved. Swallowing skills and neoglottis' motility and vibrations were videoendoscopically assessed. Aerodynamic measures, spectrogram analysis, aspiration pneumonia, body weight variations, and voice perceptual assessment were performed. Generic voice-related and swallowing-related QOL were assessed. Data were statistically compared using Mann-Whitney U test or Fisher exact tests, as appropriate. Results: Significant differences were found only for the residue with solids and for the intelligibility (I) parameter of the overall quality impression and intelligibility, additive and unnecessary noise, speech fluency, and presence of voiced segments scale with patients of the OPHL type IIIa group showing worse performances than the OPHL type IIa group. Conclusion: Patients who underwent OPHL type IIa and type IIIa show comparable long-term functional outcomes. OPHL type IIIa represents a valid surgical alternative to OPHL type IIa.

Original languageEnglish
JournalHead and Neck
DOIs
Publication statusAccepted/In press - 2015

Keywords

  • Functional outcomes
  • Open partial laryngectomy
  • Quality of life
  • Swallowing
  • Voice

ASJC Scopus subject areas

  • Otorhinolaryngology

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