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Abstract:
OBJECTIVE:To investigate voice quality changes of patients treated by transoral laser cordectomy (TLC) for early glottic cancer according to the type of cordectomies. METHODS:A total of 164 consecutive male patients with an early glottic cancer were prospectively recruited from the Department of Otolaryngology-Head and Neck Surgery of the Georges Pompidou European Hospital. Depending on the tumor characteristics, patients benefited from type I to VI CO2 cordectomy regarding the European Laryngological Society classification. The following voice quality outcomes were pre- to postoperatively assessed: voice handicap index (VHI), perceptual grade of dysphonia, roughness, breathiness, maximum phonation time, and acoustic parameters. RESULTS:Fifty-five patients with Tis, T1, or T2 vocal fold cancer completed the study (mean age: 61.7 years). Of these patients, 34 and 21 composed group 1 (types I-III TLC) and group 2 (types IV-VI TLC), respectively. Voice handicap index, grade of dysphonia, and breathiness significantly improved from pre- to 3- and 6-month posttreatment in group 1. In group 2, only VHI significantly improved from pre- to 3- and 6-month posttreatment. Acoustic and aerodynamic measurements did not change throughout the postoperative course. Patients with types I to III TLC exhibited better postoperative voice outcomes compared to those treated by types IV to VI TLC. CONCLUSION:Irrespective to the types of TLC, the subjective voice quality of patients treated by CO2 laser cordectomy for early glottic cancer significantly improved from pre- to 3- and 6-month posttreatment. The usefulness of aerodynamic and acoustic measurements as postoperative outcomes of voice quality changes remain controversial and require future studies considering multidimensional assessment of voice.
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最新影响因子:1.677 | 期刊ISSN:0145-5613 | CiteScore: |
出版周期:Monthly | 是否OA:YES | 出版年份:0 |
期刊官方网址:http://www.entjournal.com/
自引率:0.00% | 研究方向:医学-耳鼻喉科学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Ear, Nose & Throat Journal provides practical, peer-reviewed original clinical articles, highlighting scientific research relevant to clinical care, and case reports that describe unusual entities or innovative approaches to treatment and case management. ENT Journal utilizes multiple channels to deliver authoritative and timely content that informs, engages, and shapes the industry now and into the future. Regularly featured ENT article topics include, but are not limited to: Facial Plastic and Reconstructive Surgery Pediatric Otolaryngology, Rhinology and Otology Patient Safety and Quality Improvement Studies Objective Audiology Testing Salivary Gland Diseases Transoral Robotic Surgery Surgery: Head, Neck, Skull Base Sleep Medicine Audiology approaches for the population that is difficult to test Patient Safety and Quality Improvement Studies Allergy Regularly featured ENT clinics include: Otoscopic Clinic Rhinoscopic Clinic Laryngoscopic Clinic Imaging Clinic Pathology Clinic Dysphagia Clinic Head and Neck Clinic Facial Plastic Surgery Clinic Pediatric Otolaryngology Clinic Clinical Nuggets
《耳鼻喉杂志》提供了实用的、同行评审的原始临床文章,强调了与临床护理相关的科学研究,以及描述不寻常实体或创新治疗方法和病例管理的病例报告。《耳鼻喉科杂志》利用多种渠道,及时发布权威性的内容,为行业的现在和未来提供信息、参与和塑造。 文章的主题包括,但不限于: 面部整形重建手术 小儿口鼻咽喉科 患者安全和质量改进研究 客观听力学测试 唾液腺疾病 经口机器人手术 手术:头、颈、颅底 睡眠医学 难测人群的听力学方法 患者安全和质量改进研究 过敏 特色门诊包括: 耳镜门诊 鼻镜诊所 喉镜门诊 影像诊所 病理门诊 吞咽困难门诊 头颈部诊所 面部整形外科门诊 小儿耳鼻喉科门诊 临床金块
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OTORHINOLARYNGOLOGY (耳鼻喉科学) 4区 |
35/41 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
41 | 38 | 3 |
引文计数(2018)
文献(2015-2017)
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研究方向:临床方面
接受率: 一般容易(75%命中)
影响因子:1.714
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研究方向:化学-生化研究方法
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影响因子:4.177
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研究方向:-
影响因子:5.758
ISSN:0305-7453
研究方向:医学-传染病学
发表一篇学和医学成像类SCI论文
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