Summary
Objective
The aim of the present study is to evaluate the efficacy of phonosurgical corrective
approaches based on injection laryngoplasties and pharyngoplasties followed by speech
therapy for voice restoration after unsatisfactory phonatory results of open partial
horizontal laryngectomies.
Methods
Ten patients with not satisfying phonatory results despite speech therapy after type
II or type III open partial horizontal laryngectomies (OPHLs) were included. Each
patient underwent a voice restoration program based on phonosurgery (injection laryngoplasty
and/or injection pharyngoplasty) with hyaluronic acid and/or calcium hydroxyapatite,
followed by post-surgical voice rehabilitation. Voices were recorded and analysed
through spectrographic, aerodynamic, perceptual, laryngoscopic and self-assessment
evaluations before the treatment (T0), after 1 month (T1) and after three months (T2).
Results
Significant improvements in the patients voices were found between T0, T1 and T2 concerning
acoustic, perceptual, aerodynamic, laryngoscopic and self assessment evaluations.
Conclusions
The results of the present study support phonosurgical injection procedures followed
by speech therapy as an effective strategy for voice restoration after type II or
type III OPHLs in selected patients.
Key Words
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Article info
Publication history
Published online: April 23, 2022
Accepted:
March 25,
2022
Publication stage
In Press Corrected ProofFootnotes
Financial Disclosures. The author Marco Fantini was supported by the AIRC fellowship for Italy research grant.
Identification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
