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\begin{document}

\title{LONG-TERM VOICE OUTCOMES AND QUALITY OF LIFE AFTER OPEN PARTIAL
HORIZONTAL LARYNGECTOMY TYPE II VS TOTAL LARYNGECTOMY: A CROSS-SECTIONAL
STUDY}



\author[1]{Lucia D'Alatri}%
\author[1]{Ylenia Longobardi}%
\author[1]{Claudio Parrilla}%
\author[2]{Fabrizio Crudo}%
\author[3]{Giuseppe Oliveto}%
\author[3]{Giorgia Mari}%
\author[3]{Maria Raffaella Marchese}%
\author[3]{Giulio Cesare Passali}%
\author[3]{Carolina Ausili Cefaro}%
\author[4]{Gaetano Paludetti}%
\author[3]{Jacopo Galli}%
\affil[1]{Universita Cattolica del Sacro Cuore Facolta di Medicina e Chirurgia}%
\affil[2]{Università Cattolica del Sacro Cuore Facoltà di Medicina e Chirurgia}%
\affil[3]{Policlinico Universitario Agostino Gemelli}%
\affil[4]{Università Cattolica del Sacro Cuore}%


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  \date{June 17, 2024}


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\begin{abstract}
Objectives: We aim to analyze long-term voice outcomes and Quality of
Life (QoL) in patients undergoing Open Partial Horizontal Laryngectomy
Type II (OPHL Type II) and to compare them to those obtained by patients
undergoing Total Laryngectomy (TL) with voice prosthesis (VP). Design:
Cross-sectional cohort study Setting: patients undergoing surgery for
advanced laryngeal cancer, assessed during the usual follow-up
consultations at the Phoniatric Unit (February 2020-December 2020).
Participants: Forty-five patients were enrolled and divided into two
groups: OPHL Group and TL Group. Main outcomes measures: Maximum
phonation time, INFV0 scale, I-SECEL, UWQoL-V4 and MDADI questionnaires
were used to assess the long-term outcomes. Results: Voices of patients
undergoing OPHL Type II were worse than those of laryngectomized
patients with VP. Nevertheless, scores in voice and dysphagia-related
QoL were comparable and scores in the Social domain of QoL were better
in OPHL group. Conclusions. OPHL Type II allows an acceptable voice
recovery and a satisfactory QoL.%
\end{abstract}%



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