Vocal quality after transoral CO2 laser cordectomy

Luís Rio Rodrigues; Alberto Santos; Sandra Hespanhol; Constança Oom; Filipa Ruas Morgado; António Trigueiros Cunha; Carlos Macor

doi:10.34631/sporl.2061

Autores

Luís Rio Rodrigues Hospital Beatriz Ângelo, Portugal https://orcid.org/0000-0001-9905-0638
Alberto Santos Hospital Beatriz Ângelo, Portugal https://orcid.org/0000-0003-1148-0882
Sandra Hespanhol Hospital Beatriz Ângelo, Portugal https://orcid.org/0009-0004-4657-8235
Constança Oom Hospital Beatriz Ângelo, Portugal https://orcid.org/0009-0003-4189-0863
Filipa Ruas Morgado Hospital Beatriz Ângelo, Portugal https://orcid.org/0000-0001-5853-9170
António Trigueiros Cunha Hospital Beatriz Ângelo, Portugal https://orcid.org/0009-0001-0313-3840
Carlos Macor Hospital Beatriz Ângelo, Portugal https://orcid.org/0000-0002-6917-3968

DOI:

https://doi.org/10.34631/sporl.2061

Palavras-chave:

microcirurgia da laringe, cordectomia, avaliação vocal

Resumo

Objetivos: O presente estudo pretende avaliar a qualidade vocal em doentes submetidos a microcirurgia da laringe transoral com laser CO2 (MTL), de acordo o tipo de cordectomia.
Desenho de estudo: Observacional transversal.
Material e Métodos: Doentes submetidos a MTL por carcinoma pavimentoso celular (CPC) glótico, divididos em dois grupos: grupo A (cordectomia tipo III) e grupo B (tipos IV-V). Foram avaliados os seguintes parâmetros: frequência fundamental (F0), jitter, shimmer, tempo máximo fonatório (TMF), escala GRBAS e Voice Handicap Index-10 (VHI-10).
Resultados: Foram recrutados 16 doentes, 8 no grupo A e 8 no grupo B. Doentes do grupo B apresentaram um VHI-10 maior em relação aos doentes do grupo A. Os valores de G (grau), R (aspereza) e S (tensão) e ainda os parâmetros acústicos foram tendencialmente piores no grupo B. Conclusão: O tipo de MTL influencia, a longo prazo, a qualidade vocal, com um grande impacto na qualidade de vida.

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Qualidade vocal após cordectomia transoral com laser CO2

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