Health status and voice outcome after treatment for @entity13712 XXXX .

@entity1 @entity5 @entity189 @entity13712 @entity1740
Radiotherapy as well as endoscopic laser surgery as the most widely used treatment modalities for @entity13712 @entity189 cause minor morbidity and negligible mortality and result in more or less comparable, excellent cure and larynx preservation rates. Therefore, other outcome measures such as voice-related problems and health status are important factors in the choice of treatment for @entity13712 @entity5 . The present study focuses on voice-related problems in the daily life of @entity1 treated by radiotherapy or endoscopic laser surgery for @entity13712 @entity5 . Self ratings on health status assessed by means of COOP/WONCA health status charts and voice problems evaluated with a validated voice-specific questionnaire (the Voice Handicap Index) and overall judgment on @entity1740 were obtained. A total of 102 @entity1 (56 treated by endoscopic laser surgery and 46 treated by radiotherapy) with at least 1-year follow-up were included. Response scores were high: 52 (93%) @entity1 after endoscopic laser surgery versus 40 (87%) @entity1 after radiation therapy completed and returned the questionnaires. A high percentage of @entity1 reported voice problems in daily life: 58% of the @entity1 following radiotherapy and 40% of the @entity1 following endoscopic treatment had abnormal VHI scores. The difference between both treatment modalities proved to be significant. No significant differences were found concerning health status or overall judgment of @entity1740 . Moderate correlations were found between total VHI score and @entity1740 judgment and the COOP/WONCA social activities chart. This study reveals that treatment for @entity13712 @entity5 often does result in voice problems in daily life, negatively influencing @entity1 social activities. @entity1 selected for endoscopic laser surgery on average report fewer voice-related problems than those who underwent radiotherapy.
