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J Korean Soc Laryngol Phoniatr Logop > Volume 19(1); 2008 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2008;19(1): 7-10.
조기 성문암에서 레이저 수술과 방사선 치료 후 음성기능 비교
이종철1, 이윤세2, 남순열2
1울산대학교 의과대학 울산대학교병원 이비인후과학교실
2울산대학교 의과대학 서울아산병원 이비인후과학교실
Comparison of Functional Voice Outcomes in Patients Treated with Laser Surgery and Radiation Therapy for Early Glottic Cancer
Jong-Cheol Lee1, Yoon-Se Lee2, Soon-Yuhl Nam2
1Department of Otolaryngology, Ulsan University Hospital, University of Ulsan College of Medicine
2Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine
The early glottic cancers are traditionally treated by radiotherapy or endoscopic surgery. The excellent effectiveness of both treatment modalities for local control, larynx preservation, and disease specific death is similar. Therefore, functional voice outcome after treatment is one of the most important factors in the choice of treatment for early glottic cancer. To assess the functional outcomes and compare the voice quality in patients with early glottic cancer treated with curative intent with radiotherapy or laser cordectomy, we performed literature review. Most studies showed that the voice quality after radiation therapy is slightly better than that after laser cordectomy. Subanalysis according to types of laser cordectomy, however, indicates that voice quality depends on type of laser cordectomy. Especially, type I or type II laser cordectomy might be superior to other types of laser cordectomy and radiation therapy. We conclude that the laser cordectomy is a good surgical alternative for properly selected early glottic cancer including professional voice users.
KEY WORDS: Early glottic cancer;Laser cordectomy;Radiation therapy;Voice;
중심 단어: 조기 성문암;음성;레이저 성대 절제술;방사선 치료;
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