조기 성문암에서 수술과 방사선치료 후 음성과 연하기능 비교

방충일; 김민식; 박홍진; 조승호; 박영학; 이정학

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자료유형: 학술저널

저자정보: 방충일 김민식 박홍진 조승호 박영학 이정학

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제11호

발행연도: 2005.1

수록면: 1,377 - 1,381 (5page)

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연구배경

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Background and Objectives：Laryngeal neoplasms such as early glottic cancer can be effectively treated with several methods, namely laser surgery, conservation laryngeal surgery and radiotherapy. Therefore, the preservation of the ability to speak and swallow normally is another important consideration in the selection of therapy for early glottic cancer. The purpose of this study is to compare the functional results of voice and deglutition for early glottic cancer patients treated with surgery or radiation. Subjects and Method：Between January 2002 and September 2004, 17 patients with the early glottic cancer who had undergone radiotherapy (n=6) or surgery (n=11) were retrospectively investigated. All the patients were phonetically analysed using CSL and Fo, Jitter, Shimmer and NHR were evaluated. For aerodynamic test, maximum phonation time (MPT) and mean air flow rate (MFR) were also evaluated. Modified barium swallow (MBS) was performed to evaluate swallowing function. Results： There were no significant difference in all the vocal parameters between radiotherapy group and surgery group. But Shimmer differed significantly between radiotherapy group and laser cordectomy group. In aerodynamic study, MPT was significantly longer in the radiotherapy group than in the surgery group, but no significant difference was observed between the radiotherapy group and laser cordectomy group. MBS showed better results in the surgery group than in the radiotherapy group. Conclusion： Therapeutic modality for patients with early glottic cancer should be chosen in consideration of voice quality and swallowing, and according to multiple parameters of the patients’ conditions.

#후두암·레이저 수술·방사선 치료·음성·연하. #Laryngeal neoplasms·Laser surgery·Radiotherapy·Voice·Deglutition.

참고문헌 (20)

참고문헌 신청

/ / Laser cordectomy or radiotherapy : 648 ~ 54

/ 1988 / Vocal quality 10years after radiotherapy for early glottic cancer 39 : 295 ~ 6

/ 1991 / Laser cordectomyfor T1 glottic carcinoma:A 10-year experience and videostroboscopicfindings 104 : 831 ~ 7

/ 1995 / Voice evaluation before and afterlaser excision vs radiotherapy of T1a glottic carcinoma 115 : 560 ~ 5

/ 1997 / CO2 laser in the diagnosis and treatment of early cancer of the vocalfold 254 : 169 ~ 76

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