Otolaryngology: Open Access
Open Access

Abstract

Objective: To determine voice outcomes in endo-laryngeal surgery. Methods: Prospective assessment of patients undergoing endo-laryngeal surgery in one Head & Neck team in North Glasgow from 2007 to 2014. Each patient completed a VoiSS questionnaire at pre-assessment and post-endo-laryngeal surgery. Per-operatively the aim of the procedure was recorded from a choice of seven options in addition to the clinical conditions and the procedure. Results: 1066 patient episodes were recorded. 32 had incomplete data at pre-assessment and were excluded. Of the remainder, 703(68%) had complete paired data sets. “To improve voice” (n=169.24%) and ‘to achieve a biopsy with no deterioration in voice’ (n=185.26%) categories had statistically significant outcomes in keeping with the operative aims. Conclusion: This study demonstrated it is possible to assess patient reported voice outcomes in universal heterogeneous endolaryngeal surgery cohort over a prolonged period. The voice outcomes were in keeping with the stated aims of the endo-laryngeal surgical procedures.

Biography

Shayan Ansari is a Consultant Head & Neck / ENT Surgeon in University Hospital Crosshouse, NHS Ayrshire & Arran, UK and also an Honorary Clinical Senior Lecturer in The University of Glasgow, UK. Bulk of his practice includes management of benign and malignant head and neck diseases including sinonasal, thyroid & parathyroid, laryngeal and pharyngeal pathologies. He also enjoys dealing with general ENT conditions. He completed his Head & Neck / ENT training in Scotland, UK. His interest has always been in Head & Neck surgical oncology especially organ preservation and salvage strategies. To achieve his ambition, he spent some time working in a busy head and neck unit in Groote Schuur Hospital, Cape Town, South Africa. His other interests include teaching and training of medical students, dental students, speech and language therapists, teachers and post-graduate doctors in various ENT disorders. He not only teaches in various courses for this purpose but also is an organizer and tutor in various Royal College of Surgeons of Edinburgh endorsed courses. He has various academic publications on ENT and head and neck surgical topics especially patient reported outcomes measures. He is director and trustee for two UK charities (Postgraduate Education Group Scotland and Rawalians’ Association for Healthcare Improvement and Innovation) that work for improvement of health care and education in UK and developing countries. He is also a founding member of Scottish Head And Neck Research Collaboration (SHANREC). His special interest in information technology and health informatics helps him in handling and maintaining online / standalone databases and networks. He is in a process of launching first dedicated Health Resource Portal for ENT / Head & Neck surgeons.

Email: s.ansari@nhs.net