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Voice Outcomes after Radiotherapy for Laryngeal Cancer
- Source :
- Asian Journal of Oncology, Vol 07, Iss 02, Pp 096-104 (2021)
- Publication Year :
- 2021
- Publisher :
- Georg Thieme Verlag KG, 2021.
-
Abstract
- Objective The study was aimed to assess changes in voice outcomes after radiotherapy in laryngeal cancer patients. Materials and Methods The study included 60 laryngeal cancer patients treated with definitive radiotherapy or chemoradiotherapy between 2005 and 2012. The primary endpoint of this study was to assess abnormalities of the patients’ voices after the treatment. The Thai version of the Voice Handicap Index (VHI) and xerostomia questionnaire were conducted by telephone. Videostroboscopic examination was done to objectively assess voice outcomes. Results The median age of patients was 63 years. Most patients had glottic cancer (84.1%) and T1–2 disease (84.1%). The median time from treatment to the study was 46 months. In terms of the total VHI score, most patients were in the normal and slight handicap groups (22% and 71.4%, respectively). Only 4.8% and 1.6% of the patients were in moderate and severe handicap group, respectively. Twenty-eight patients had significant xerostomia. Videostroboscopy examination was done in 23 patients and most common findings were telangiectasia (95.7%), abnormal mucosal wave (47.8%), and abnormal glottic closure configuration (34.8%). Regarding total VHI score, lower radiation dose, conventional radiation dose per fraction, longer period after treatment, and significant xerostomia status were significantly correlated with worse voice outcomes. There were no statistically significant correlations between the videostroboscopic findings and VHI scores. Conclusion Voice outcomes in most of laryngeal cancer patients treated with radiotherapy had a normal or mild handicap at more than 1 year of follow-up. Only 4.8% and 1.6% of the patients had moderate and severe voice outcome handicap, respectively.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Disease
videostroboscopy
03 medical and health sciences
0302 clinical medicine
Internal medicine
Clinical endpoint
Medicine
voice handicap index
General Materials Science
Voice Handicap Index
030223 otorhinolaryngology
Telangiectasia
radiotherapy
RC254-282
business.industry
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Cancer
medicine.disease
Radiation therapy
voice outcome
Glottic cancer
030220 oncology & carcinogenesis
laryngeal cancer
medicine.symptom
business
Chemoradiotherapy
Subjects
Details
- ISSN :
- 24554618 and 24546798
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Oncology
- Accession number :
- edsair.doi.dedup.....ed111ef668614172b1786e93f4433a8d