Advertisement

Clinical & Translational Oncology

, Volume 8, Issue 4, pp 284–289 | Cite as

Voice quality assessment after laryngeal cancer radiotherapeutic treatment at initial stages

  • Jesús Caminero CuevaEmail author
  • Blanca Señaris González
  • Aurora López Llames
  • Faustino Núñez Batalla
  • Ramón Alonso Pantiga
  • Carlos Suárez Nieto
Research Articles

Abstract

Introduction

The voice quality resulting from the radiotherapeutic treatment is a relevant factor to take into consideration at the time of evaluating the results. In this study the results of an objective assessment in relation to the vocal function and the patients' voice self-evaluation are presented.

Materials and methods

18 glottic tumour patients, at initial stage, treated with radiotherapy, were studied. There were made an objective analysis on the voice and a study on the perceived quality both by the examiners and the patients.

Results

p Normal voices were observed in the 11%, slight dysphonias in 44.4%, moderate dysphonias in 27.8% and severe dysphonias in 16.7% of the cases. Spectrographically, the 18 samples were classified as Grade I one case (5.5%), Grade II 7 (38.8%), Grade III 5 (27.7%) and Grade IV 5 (27.7%). The questionnaire

Voice Handicap Index

Which was completed by the patients themselves, gave out results values very close to normality.

Conclusions

The patients voice acoustic analysis of the series shows the damage thereof after the radiotherapeutic treatment is minimum as well as the handicap feeling of the T1 laryngeal carcinoma patients treated with radiotherapy.

Key words

voice quality quality of life radiotherapy laryngeal cancer glottis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Smith JC, Jonson JT, Myers EN. Management and outcome of early glottic carcinoma. Otolaryngol Head Neck Surg. 2002; 126:356–64.PubMedCrossRefGoogle Scholar
  2. 2.
    Núñez Batalla F, Corte Santos P, Sequeiros Santiago G, Señaris González B, Suárez Nieto C. Evaluación Perceptual de la Disfonía: Correlación con los Parámetros A cústicos y Fiabilidad. Acta Otorrinolaringológica Española. 2004;55:282–7.PubMedGoogle Scholar
  3. 3.
    Behrman A, Abramson AL, Myssiorek D. A comparison of radiation-induced and presbylaryngeal disphonia. Otolaryngol Head Neck Surg. 2001;125:193–200.PubMedCrossRefGoogle Scholar
  4. 4.
    Stoeckli SJ, Guidicelli M, Schneider A, Huber A, Schmid S. Quality of life after treatment for laryngeal carcinoma. Eur Arch Otorhinolaryngol. 2001;258:96–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Fung K, Yoo J, Leeper HA, Bogue B, et al. Effects of head and neck radiation therapy on vocal function. J Otolaryngol. 2001;30:153–9.Google Scholar
  6. 6.
    Beahrs OH, Henson DE, Hutter RVP, Myers V. American Joint Committee on Cancer: Manual for Staging of cancer. Third edition. Philadelphia: JB Lippincott Company; 1988.Google Scholar
  7. 7.
    Yanagihara N. Significance of harmonic changes and noise components in hoarseness. J Speech Hear Res. 1967;10:531–41.PubMedGoogle Scholar
  8. 8.
    Fex S. Perceptual evaluation. J Voice. 1992; 6:155–8.CrossRefGoogle Scholar
  9. 9.
    Jacobson BH, Jonson A, Grywalski C. The Voice Handicap Index (VHI): Development and validation. American Journal of Speech-Lenguage Pathology. 1997;6:66–70.Google Scholar
  10. 10.
    Hocevar-Boltezar I, Zargi M, Honocodeevar-Boltezar I. Voice quality after radiation therapy for early glottic cancer. Arch Otolaryngol Head neck Surg. 2000;126:1097–100.PubMedGoogle Scholar
  11. 11.
    van der Torn M, Verdonck-de Leeuw IM, Kuik DJ, Mahieu HF. Communicative suitability of voice following radiotherapy for T1 glottic carcinoma: Testing the reliability of a rating instrument. J Voice. 2002;16:398–407.PubMedCrossRefGoogle Scholar
  12. 12.
    Verdonck-de Leeuw IM, Hilgers FJM, Zeus RB, et al. Multidimensional assessment of voice characteristics after radiotherapy for early glottic cancer. Laryngoscope. 1999;109:241–8.PubMedCrossRefGoogle Scholar
  13. 13.
    Delsooehe KG, Zink I, Lejaegere M, Bastian RW. Voice quality after narrow-margin laser cordectomy compared with laryngeal irradiation. Otolaryngol Head Neck Surg. 1999;121:528–33.CrossRefGoogle Scholar
  14. 14.
    Tamura E, Kitahara S, Ogura M, Cono N. Voice quality alter laser surgery or radiotherapy for T1a glottic carcinoma. Laryngoscope. 2003;113:910–4.PubMedCrossRefGoogle Scholar
  15. 15.
    Morgan DAL, Robinson HF, Marsh L. Vocal quality 10 years after radioterapy for early glottic cancer. Clin Radiol. 1988;39:295–6.PubMedCrossRefGoogle Scholar
  16. 16.
    Behrman A, Sulica L, He T. Factors predicting patient perception of dysphonia caused by benign vocal fold Lesions. Laryngoscope. 2004;114:1695–700.CrossRefGoogle Scholar

Copyright information

© FESEO 2006

Authors and Affiliations

  • Jesús Caminero Cueva
    • 1
    Email author
  • Blanca Señaris González
    • 2
  • Aurora López Llames
    • 2
  • Faustino Núñez Batalla
    • 2
  • Ramón Alonso Pantiga
    • 1
  • Carlos Suárez Nieto
    • 2
  1. 1.Servicio de OtorrinolaringologíaHospital Universitario Central de AsturiasOviedoSpain
  2. 2.Servicio de Oncología Radioterápica y OtorrinolaringologíaHospital Universitario Central de AsturiasAsturiasSpain

Personalised recommendations