Effect of laryngeal function reconstruction of sternohyoid muscle inversion for treatment of glottic carcinoma
- VernacularTitle:胸骨舌骨肌内翻喉功能重建术对声门型喉癌的疗效分析
- Author:
Wenjie MIAO
1
;
Huimin WANG
;
Hang ZHOU
;
Baocai LU
;
Rong LIAN
Author Information
- Keywords: laryngeal function reconstruction of sternohyoid muscle inversion; glottic carci-noma; voice-related parameters; swallowing function; quality of life; phonation function; complica-tions
- From: Journal of Clinical Medicine in Practice 2024;28(17):41-44,50
- CountryChina
- Language:Chinese
- Abstract: Objective To observe effect of laryngeal function reconstruction of sternohyoid mus-cle inversion for treatment of glottic carcinoma.Methods A total of 106 patients with glottic carcino-ma admitted to the Department of Otolaryngology in our hospital from January 2020 to December 2023 were selected and randomly divided into control group and observation group,with 53 patients in each group.The control group underwent vertical partial laryngectomy,while the observation group re-ceived vertical partial laryngectomy combined with thyrohyoid muscle inversion laryngeal reconstruc-tion.Both groups were assessed for voice-related parameters[normalized noise energy(NNE),har-monic-to-noise ratio(HNR),jitter,shimmer],swallowing function[videofluoroscopic swallowing study(VFSS)score],quality of life[voice handicap index(VHI)score],improvement in phona-tion function,and incidence of complications(irritative cough,pharyngeal pain,dyspnea,laryngeal stenosis,local adhesion).Results Three months postoperatively,both groups showed significant decrease in NNE,jitter,and shimmer,and an increase in HNR compared to preoperative levels(P＜0.05).The observation group demonstrated lower NNE,jitter,and shimmer,and higher HNR than the control group at 3 months postoperatively(P＜0.05).Both groups had improved VFSS scores and reduced VHI scores at 3 months compared to preoperation(P＜0.05).The observation group showed higher VFSS scores and lower VHI scores than the control group at 3 months after operation(P＜0.05).The control group achieved an excellent or good rate of phonation function improvement was significantly lower than the observation group(88.68％versus 71.70％,P＜0.05).The incidence of complications in the observation group was significantly lower than that in the control group(9.43％versus 24.53％,P＜0.05).Conclusion The combination of vertical partial laryngecto-my and laryngeal function reconstruction of sternohyoid muscle inversion for glottic carcinoma effec-tively improves voice-related parameters,swallowing function,quality of life,and phonation func-tion,with a lower incidence of complications.
