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Comparison of Voice Quality and Cost Effectiveness of Endoscopic Cordectomy Using Microdissection Electrodes with Laser Cordectomy and Radiotherapy

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dc.contributor.authorOYSU, ÇAĞATAY
dc.contributor.authorsSurmeli, Mehmet; Oysu, Cagatay; Yilmaz, Ayse Asli Sahin; Deveci, Ildem; Karabulut, Burak; Sunter, Ahmet Volkan; Yigit, Ozgur; Bicakci, Beyhan Ceylaner
dc.date.accessioned2022-03-14T09:17:31Z
dc.date.available2022-03-14T09:17:31Z
dc.date.issued2019-05-10
dc.description.abstractObjective: To compare the acoustic parameters and the cost effectiveness achieved after endoscopic cordectomy using radiofrequency microdissection electrodes (ECRM) with those of transoral laser cordectomy and radiotherapy. Methods: The study included 81 disease-free patients previously treated for early larynx carcinoma (30 with ECRM, 27 with transoral laser cordectomy, 24 with primary radiotherapy). Post-treatment voice analysis was performed in all patients. Additionally, the cost effectiveness of all treatment procedures was calculated. Results: The GRBAS (G: Grade, R: Roughness, B: Breathiness, A: Asthenia, and S: Strain) scale showed a significant difference between the groups (p<0.001). The mean values for perceptive assessment score in the radiotherapy group were significantly lower than those in the ECRM group (p<0.05). There were no significant differences between the ECRM group and the transoral laser cordectomy group in terms of the perceptive assessment scores (p>0.05 for all). Percent jitter, percent shimmer and fundamental frequency (F0) were significantly different in the radiotherapy group than the ECRM and the transoral laser cordectomy groups (p<0.05). Maximum phonation time (MPT) in the radiotherapy group was significantly longer than the ECRM and transoral laser cordectomy groups (p<0.001). There were no significant differences between the ECRM group and the transoral laser cordectomy group in terms of the MPT (p>0.05). The mean cost of the ECRM technique was statistically lower than the other treatment techniques (p<0.05). Moreover, the length of hospital stay after ECRM was statistically significantly shorter than was after laser cordectomy (p<0.05). Conclusion: Objective and perceptive voice analysis after ECRM showed comparable results with transoral laser cordectomy, but poorer results than radiotherapy. Cost effectiveness of ECRM was found to be better than the other two treatment techniques.
dc.identifier.doi10.5152/tao.2019.4044
dc.identifier.eissn2667-7474
dc.identifier.issn2667-7466
dc.identifier.pubmed31049245
dc.identifier.urihttps://hdl.handle.net/11424/242919
dc.identifier.wosWOS:000463724000002
dc.language.isoeng
dc.publisherGALENOS YAYINCILIK
dc.relation.ispartofTURKISH ARCHIVES OF OTORHINOLARYNGOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEarly laryngeal cancer
dc.subjectvoice quality
dc.subjectradiofrequency ablation
dc.subjectcost effectiveness
dc.subjectGLOTTIC CARCINOMA
dc.subjectSURGERY
dc.subjectCANCER
dc.subjectRADIATION
dc.subjectOUTCOMES
dc.titleComparison of Voice Quality and Cost Effectiveness of Endoscopic Cordectomy Using Microdissection Electrodes with Laser Cordectomy and Radiotherapy
dc.typearticle
dspace.entity.typePublication
local.avesis.id39d976c2-a0ce-4169-8741-403303da9813
local.import.packageSS16
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atTRDIZIN
local.journal.numberofpages6
oaire.citation.endPage6
oaire.citation.issue1
oaire.citation.startPage1
oaire.citation.titleTURKISH ARCHIVES OF OTORHINOLARYNGOLOGY
oaire.citation.volume57
relation.isAuthorOfPublicationec6e486e-15b1-4c25-910f-5f85ab2fbaf4
relation.isAuthorOfPublication.latestForDiscoveryec6e486e-15b1-4c25-910f-5f85ab2fbaf4

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