Voice quality after open partial horizontal laryngectomy vs. total laryngectomy with voice prosthesis: a comparative study

Eur Arch Otorhinolaryngol. 2024 Sep;281(9):4897-4902. doi: 10.1007/s00405-024-08735-5. Epub 2024 Jul 24.

Abstract

Objectives: The aim of this study is to compare voice outcomes in open partial horizontal laryngectomy vs. total laryngectomy (TL) with voice prosthesis.

Methods: In this retrospective monocentric study patients undergoing OPHL or TL with voice prosthesis were enrolled during the usual oncological follow-up consultations at the Otolaryngology and Audiology Unit of a University Hospital in the period between July 2022 and June 2023. Acoustic analysis (F0, HNR, NHR), maximum phonation time, I-SECEL and INFV0 scale were used to assess voice outcome.

Results: Forty-three patients were enrolled. Voices of patients undergoing LT were better in quality of voice (V0) at INFV0 scale. The scores in I-SECEL and acoustic analysis were comparable.

Conclusions: Voice quality could be slight better in patients undergoing TL with voice prosthesis than those undergoing OPHL.

Keywords: OPHL; Total laryngectomy; Voice prosthesis; Voice quality.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Female
  • Humans
  • Laryngeal Neoplasms* / surgery
  • Laryngectomy* / methods
  • Larynx, Artificial*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Voice Quality*