Influence of age on voice quality after transoral CO2 laser microsurgery
Abstract Objective To study the post-operative evolution of voice quality of patients treated by transoral CO2 laser microsurgery (TLM) according to the age. Methods Patients treated by type I to VI TLM and post-operative speech therapy were prospectively recruited from our hospital. The voice quali...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-09-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40463-023-00664-3 |
| _version_ | 1826840481035714560 |
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| author | Jerome R. Lechien Stephane Hans Lise Crevier-Buchman |
| author_facet | Jerome R. Lechien Stephane Hans Lise Crevier-Buchman |
| author_sort | Jerome R. Lechien |
| collection | DOAJ |
| description | Abstract Objective To study the post-operative evolution of voice quality of patients treated by transoral CO2 laser microsurgery (TLM) according to the age. Methods Patients treated by type I to VI TLM and post-operative speech therapy were prospectively recruited from our hospital. The voice quality was assessed pre-, 1-, 3- 6- and 12-month posttreatment with voice handicap index (VHI), dysphonia, roughness, breathiness, asthenia, strain (GRBAS), maximal phonation time (MPT), F0, F0 standard deviation (STD), percent jitter, percent shimmer, noise-to-harmonic ratio (NHR), vocal fold vibration assessment and speech fluency. Evolution of voice outcomes was analyzed considering age of patients (< 60 vs. ≥ 60 years). Results Seventy-five patients completed the evaluations. Thirty-four and forty-one patients were < 60 or ≥ 60 yo, respectively. Subjective and objective voice parameters (VHI, G, R, B), jitter and fluency significantly improved from 1- to 6-month post-TLM in < 60 yo individuals. The voice parameters improved 12-month post-TLM in the ≥ 60 yo group at the exception of VHI that improved 3-month post-TLM. There were positive associations between age and 12-month NHR, G and A parameters. Conclusion The post-operative evolution of voice quality parameters may vary between patients according to the age. Preoperative VHI is predictive of 12-month subjective and objective voice outcomes. Graphical abstract |
| first_indexed | 2024-03-12T00:01:51Z |
| format | Article |
| id | doaj.art-292c5a7f21804254a111c407dadc0c62 |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2025-02-16T12:41:17Z |
| publishDate | 2023-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-292c5a7f21804254a111c407dadc0c622025-02-02T23:11:32ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162023-09-0152111010.1186/s40463-023-00664-3Influence of age on voice quality after transoral CO2 laser microsurgeryJerome R. Lechien0Stephane Hans1Lise Crevier-Buchman2Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University)Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University)Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University)Abstract Objective To study the post-operative evolution of voice quality of patients treated by transoral CO2 laser microsurgery (TLM) according to the age. Methods Patients treated by type I to VI TLM and post-operative speech therapy were prospectively recruited from our hospital. The voice quality was assessed pre-, 1-, 3- 6- and 12-month posttreatment with voice handicap index (VHI), dysphonia, roughness, breathiness, asthenia, strain (GRBAS), maximal phonation time (MPT), F0, F0 standard deviation (STD), percent jitter, percent shimmer, noise-to-harmonic ratio (NHR), vocal fold vibration assessment and speech fluency. Evolution of voice outcomes was analyzed considering age of patients (< 60 vs. ≥ 60 years). Results Seventy-five patients completed the evaluations. Thirty-four and forty-one patients were < 60 or ≥ 60 yo, respectively. Subjective and objective voice parameters (VHI, G, R, B), jitter and fluency significantly improved from 1- to 6-month post-TLM in < 60 yo individuals. The voice parameters improved 12-month post-TLM in the ≥ 60 yo group at the exception of VHI that improved 3-month post-TLM. There were positive associations between age and 12-month NHR, G and A parameters. Conclusion The post-operative evolution of voice quality parameters may vary between patients according to the age. Preoperative VHI is predictive of 12-month subjective and objective voice outcomes. Graphical abstracthttps://doi.org/10.1186/s40463-023-00664-3LarynxLaryngealCancerLaserCO2Cordectomy |
| spellingShingle | Jerome R. Lechien Stephane Hans Lise Crevier-Buchman Influence of age on voice quality after transoral CO2 laser microsurgery Journal of Otolaryngology - Head and Neck Surgery Larynx Laryngeal Cancer Laser CO2 Cordectomy |
| title | Influence of age on voice quality after transoral CO2 laser microsurgery |
| title_full | Influence of age on voice quality after transoral CO2 laser microsurgery |
| title_fullStr | Influence of age on voice quality after transoral CO2 laser microsurgery |
| title_full_unstemmed | Influence of age on voice quality after transoral CO2 laser microsurgery |
| title_short | Influence of age on voice quality after transoral CO2 laser microsurgery |
| title_sort | influence of age on voice quality after transoral co2 laser microsurgery |
| topic | Larynx Laryngeal Cancer Laser CO2 Cordectomy |
| url | https://doi.org/10.1186/s40463-023-00664-3 |
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