In Reply.—In response to the letter by Greene, determination of the vocal quality in the patients reported in our study was graded in a single-blind fashion by three independent, trained, speech and voice therapists. Recordings were made three months or more postoperatively. The grading system was that employed by Koufman1 in a previous article and noted on page 534 of Otolaryngology—Head & Neck Surgery.
With future stroboscopic evaluations, we hope to better delineate the vocal function following endoscopic laser surgery of the vocal cords, and we hope that others will also review their cases in a more critical fashion using more sophisticated measurements of vocal quality. Assuming that the cure rate following endoscopic laser surgery for small carcinomas of the vocal cords is certainly equivalent to that of previously recommended forms of therapy, and that the cost and time of treatment are much less, we believe that improved
MCGUIRT WF. Vocal Quality After Endoscopic Laser Surgery-Reply. Arch Otolaryngol Head Neck Surg. 1987;113(11):1238. doi:10.1001/archotol.1987.01860110104020
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