Good Voice Research Articles

Laryngeal Stenosis from Trapped Overflowed Head Scarf in the Wheel of a Moving Motor Cycle: A Case Report

Introduction: Laryngeal stenosis is partial or circumferential narrowing of the endolaryngeal airway from congenital or acquired causes. It can present with life threatening upper airway obstruction, and the goal of treatment is restoration of good quality voice, respiration and laryngeal competence. We report a case of laryngeal stenosis following strangulation by a trapped overflowed head scarf, whilst being transported on a motor cycle and highlighted the treatment challenges. Methodology: A case of laryngeal stenosis studied, clinical findings, investigation results and treatment analysed. Results: A 70-year-old Nigerian elderly woman presented with three weeks’ history of hoarseness and progressive difficulty in breathing, following pulling of her long head scarf into the back wheel of the motor cycle taking her home. She had immediate loss of consciousness, which lasted for about 60 minutes. There was associated bout of cough while eating. Examination revealed life threatening upper airway obstruction. X-ray soft tissue neck showed soft tissue mass obliterating larygotracheal air column. Flexible nasopharyngolaryngoscopy showed grossly distorted laryngeal inlet with invisible vocal cords. CT scan of the larynx showed multiple and displaced fractures of the laryngeal cartilages. Microlaryngoscopy findings were pin-hole laryngeal lumen with firm collapsed mucosa. Emergency tracheostomy was done to relieve the upper airway obstruction. Attempts were made to excise the collapse mucosa and insert a stent proved difficult. Referral for endoscopic laser excision was caution because of the potential risk of aspiration. She was counselled and coping well with the tracheostomy.

MOBILE DEVICE OF VOIP VOICE TRAFFIC ANALYSIS FOR RED5 SERVICE

Due to the increase in popularity of mobile devices and mobile networks, the usage rate of VoIP has also increased. The flow consumption of types of VoIP has become very important from the limited mobile network data program. In recent years, the voice streaming server of Adobe Flash, Red5, has been increasingly used to realize the function of VoIP. Red5 is an open source media server and has good voice compression and video compression. However, it can only be executed on a PC computer. This is because Adobe Flash player has a hardware competence, such as microphone and camera lens. The flash phone is not supported or widely used on mobile devices. In this research, we propose a mobile device which can support Adobe AIR to obtain the competence of the hardware device and to use the Red5 library to communicate with the Red5 server. Experimental results showed that the proposed method allows mobile phones to call flash phones. Also, the flash phone bandwidth is about 4KBytes in comparison to the SIP phone, which makes it more suitable for use on mobile devices. To cite this document: Jeanne Chen, Tung-Shou Chen, and Jhe-Wei Syu, Mobile device of VoIP voice traffic analysis for Red5 service, International Journal of Electronic Commerce Studies, Vol.6, No.2, pp.305-314, 2015. Permanent link to this document: http://dx.doi.org/10.7903/ijecs.1240

Assessment of voice related quality of life and its correlation with socioeconomic status after total laryngectomy.

After total laryngectomy for laryngeal cancer, the major determinants of QOL is the patient's voice related quality of life (V-RQOL). The primary aim of this study was to assess the V-RQOL and impact of socioeconomic status over it in Indian population by using two validated scales [voice handicap index (VHI) and V-RQOL questionnaires]. Total 104 patients underwent total laryngectomy but 71 were eligible for study. Patients filled the VHI and V-RQOL questionnaires after completion of 1 year of usage of the TEP voice. The socioeconomic status of the patients was calculated according to various domains related to their life and were divided into lower and higher status. A total of 76.1% patients had VHI score between 0 to 30 (minimal voice handicap), 19.7% had score between 31 to 60 (moderate voice handicap) and only 4.2% patients had VHI score more than 61 (serious voice handicap). On V-RQOL scores, 16.9% patients had score between 10 to 15 (excellent), 40.8% patients, between 16 to 20 (very good), 22.5% patients, between 21 and 25 (good voice), 15.5% patients, between 26 and 30 (fair) and only 4.2% patients scored more than 30 with poor quality of voice. Patients with lower socioeconomic group had better V-RQOL than with high socioeconomic group. VHI and V-RQOL scores in our series were superior to other studies due to major population with lower socioeconomic status and better social support which exists in our society.

Administration of Radioactive Iodine Therapy Within 1 Year After Total Thyroidectomy Does Not Affect Vocal Function.

The purpose of this study was to evaluate the impact of radioactive iodine therapy (RIT) on vocal function during the early follow-up period after total thyroidectomy (TT) using perceptive and objective measurements, questionnaires regarding subjective symptoms, and data on vocal function in a prospectively enrolled and serially followed thyroid cancer cohort. Of 212 patients who underwent TT and were screened between January and December 2010 at our hospital, 160 were included in the final analysis. Patients with the following histories were excluded: lateral neck dissection, organic vocal fold disease, external radiotherapy, and voice evaluation during thyroxine withdrawal. Patients were stratified into 3 groups: TT, TT with low-dose RIT (1.1-2.2 GBq), and TT with high-dose RIT (≥3.7 GBq). Voice evaluations were performed before surgery and at 1, 6, and 12 mo after TT. Vocal characteristics were altered after TT, including changes on the grade, roughness, and strain scale; increased amplitude perturbation; decreased fundamental frequency; narrowed pitch range; and global disturbances in subjective functional parameters on the voice handicap index. However, the degree of vocal changes among the 3 groups did not significantly differ within the 1-y postoperative follow-up period. According to the results of subgroup analyses of patients who demonstrated good voice outcomes after TT, there were no significant functional differences among the 3 groups. RIT at any dose does not affect vocal function within 1 y of TT.

Asterisks Internet Protocol Private BranchExchange with Smartphone

A telephone conversation can be done over a data network byVoice over Internet Protocol(VoIP). VoIP products are cost efficient, more versatile and also provide good voice quality as compared to proprietary system and promise converged telecommunication and data services. This paper describe Internet Protocol Private Branch Exchange (IP-PBX)calling on smartphones. IP-PBX is a complete telephony system that provides both wireless and wired calling without using SIM card. IP-PBX server is implemented by using CentOS Linux based operating system where Asterisk open source package is used. By implementing IP-PBX server wireless communication can be done in WIFI range using laptops and smartphones

Índice de desvantagem para o canto moderno em cantores evangélicos de igrejas tradicionais e pentecostais

OBJETIVO:verificar queixas, sintomas vocais e laringofaríngeos e desvantagem vocal de cantores evangélicos, comparando cantores de igrejas tradicionais com cantores de igrejas pentecostais.MÉTODOS:foram analisados 100 cantores evangélicos, de ambos os sexos, divididos em grupos tradicional e pentecostal. Aplicou-se um questionário sobre profissão, autoimagem vocal, queixa, sintomas vocais/laríngeos e o protocolo Índice de Desvantagem Vocal para o Canto Moderno. Os dados obtidos foram analisados estatisticamente por meio do cálculo da média, porcentagem e comparação entre os grupos (Teste de Mann-Whitney com nível de significância 5%).RESULTADOS:a maioria dos cantores evangélicos não utiliza a voz profissionalmente, e 2% têm conhecimentos sobre técnicas e preparação vocal. O tempo em atividades de canto/ensaio varia de 6 a 8 horas semanais e mais da metade do grupo analisado referiu possuir boa voz. Não houve diferenças significantes quanto às queixas vocais e laringofaríngeas, na comparação entre os grupos. Cantores evangélicos tradicionais apresentaram maior frequência do sintoma vocal "voz forte" quando comparados aos cantores pentecostais, considerando o gênero masculino (p=0,002). Cantores pentecostais do gênero feminino referiram pior resultado para incapacidade (p=0,008), desvantagem (p>0,000) e defeito (p=0,004), quando comparados aos cantores tradicionais do gênero feminino.CONCLUSÃO:com exceção do sintoma "voz forte" mais relatado pelos cantores masculinos do Grupo Tradicional, não houve diferenças significantes em relação à queixa vocal e sintomas vocais entre os grupos estudados. Mulheres do grupo Pentecostal apresentaram pior resultado nas três subescalas, revelando maior desvantagem vocal do que mulheres do grupo Tradicional.

Results of Voice Rehabilitation With Provox Prosthesis and Factors Affecting the Voice Quality

Voice prosthesis is the standard of care for postlaryngectomy voice rehabilitation. We aimed to assess functional outcomes of Provox voice prosthesis, to study the impact of several clinical factors (timing of Provox insertion, type of pharyngeal closure, requirement of reconstruction, performance of myotomy, and radiotherapy) on the functional outcomes, and to record the complications associated with Provox voice prosthesis. Prospective nonrandomized cross-sectional observational study. Thirty patients with postlaryngectomy speech rehabilitation with Provox prosthesis were studied. After the procedure, the patients were evaluated by a speech-language pathologist and assessed at immediate postoperative period and 6-month and 1-year interval using the parameters of functional outcomes GRBAS scale, maximal phonatory duration (MPD), and words per breath (WPB). SPSS Version 19 was used for statistical analysis. All patients had average good voice at the end of 1year after Provox insertion with voice quality results improving with time. Number of patients having MPD more than 7 was 21, 29, and 30 at 0months, 6months, and 1year, respectively. At the end of 1year, 11 patients had WPB score between 15 and 19. Seven patients had complications: periprosthetic leak (4), central leak (1), hypertonic segment (1), and stricture of the neopharynx (1). Primary Provox insertion, nonrequirement of postoperative radiation, cricopharyngeal myotomy, and primary and vertical closure of neopharynx had a better influence on the outcome; however, the results were not statistically significant. Provox voice prosthesis provides consistent and good voice results, which improve with time. Periprosthetic leak is the most common complication.

Self-Decapitation Attempt Attributed to Tinnitus and Oral Corticosteroids

Objectives: 1. Review the relationship between severe tinnitus and suicidal ideation; including documented cases in the literature. 2. Discuss the increased risk of suicidal ideation and attempts in patients with a history of psychiatric illness who receives high dose corticosteroid treatment. Methods: Case report describing a patient with multiple psychiatric comorbidities who received high-dose corticosteroids to treat tinnitus with subsequent suicide attempt. Results: 49 year-old male with a history of anxiety, depression, and schizoaffective disorder was suffering from severe, bilateral tinnitus. After completing a high dose steroid treatment for tinnitus given by another clinician, he attempted to commit suicide by acetaminophen ingestion and self-decapitation with a hand saw. Subsequent treatment included emergent neck exploration, tracheostomy, resuspension of his vocal cords/Broyle’s ligament, and closure of a laryngotracheal defect with an omohyoid myofascial flap. Patient recovered with good voice quality and no significant sequelae. Psychiatry further managed his mood disorders. Conclusion: Tinnitus is a very common and often easily dismissed diagnosis that is considered a nuisance by most who suffer from symptoms. In certain populations, the morbidity of tinnitus is severe, particularly those with coincident psychiatric illness. Clinicians must be cognizant of the impact that tinnitus can have on their patient’s life, and must select corticosteroid treatment appropriately, especially for those with a history of mood disorders.

Outcome of Laser Surgery and Radiotherapy in Early Laryngeal Cancer

The study was undertaken to compare between surgery and radiotherapy in early carcinoma larynx (T1N0). 60 cases of early carcinoma larynx were selected purposive sampling technique from all the patients of carcinoma larynx admitted into Otolaryngology and Head-Neck Surgery Department of Bangabandhu Sheikh Mujib Medical University,Dhaka; Dhaka Medical College Hospital,Dhaka; Shaheed Suhrawardy Medical College Hospital, Dhaka; Taqwah Specialized Hospital,Dhaka from January 2010 to June 2011. Carcinoma of the larynx is the most common cancer affecting the head and neck region. The main aim of this study was to determine whether there was any difference in the two main therapeutic options. The secondary aim was to assess speech and voice quality in a small, randomized sample of patients from each treatment group. The subjects investigated were 60 patients with T1N0 squamous cell carcinoma of the larynx. 30 patients were treated by irradiation, and 30 were treated with surgery. The primary outcome measures were recurrence at the primary site, recurrence in the neck. The secondary outcome measure was speech and voice quality. Surgery included laser assisted partial laryngectomy and various minor procedures on the glottis, including cordectomy. Surgery was more likely to be carried out for supraglottic disease. Result showed 16.67% of the irradiation group had a primary site recurrence compared with 20.0% in the surgery group at 12th months (p = 0.59) and 6.67% of those who were treated with irradiation had a recurrence in the neck. 16.67% of patients in the surgery group had a recurrence in the neck (p < 0.05). There was no significant difference in primary site recurrence rates for the two treatment modalities, but regional recurrence was higher in the surgery group. Regarding speech and voice quality, radiotherapy was far superior to surgery. All patients in the radiotherapy group but only 3 of 10 in the surgery group were judged to have a good or normal voice (p = .0017). Both surgery and irradiation are equally effective at treating early laryngeal carcinoma but Speech and voice quality were significantly better in patients treated by irradiation than those treated by surgery. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21312 Medicine Today 2014 Vol.26(1): 41-45

Influence of speech codecs selection on transcoding steganography

The typical approach to steganography is to compress the covert data in order to limit its size, which is reasonable in the context of a limited steganographic bandwidth. Trancoding steganography (TranSteg) is a new IP telephony steganographic method that was recently proposed that offers high steganographic bandwidth while retaining good voice quality. In TranSteg, compression of the overt data is used to make space for the steganogram. In this paper we focus on analyzing the influence of the selection of speech codecs on hidden transmission performance, that is, which codecs would be the most advantageous ones for TranSteg. Therefore, by considering the codecs which are currently most popular for IP telephony we aim to find out which codecs should be chosen for transcoding to minimize the negative influence on voice quality while maximizing the obtained steganographic bandwidth.

Surgical treatment of laryngeal stenosis with semiconductor laser.

The article reflects the current trends in the treatment of diseases of the larynx, accompanied by stenosis and impaired fonatory function, such as laryngeal papillomatosis and double-sided paresis of the recurrent larynx nerve. Actuality of surgical treatment of bilateral paresis of the recurrent larynx nerve is due to the fact that a significant proportion of patients with this disease are persons of vocal professions and functional result of the operation determines the quality of life, professional suitability. Using semiconductor laser causes a good functional outcome in this pathology treatment. The aim of the study was to improve the effectiveness of treatment of patients with laryngeal papillomatosis and with bilateral paresis of the recurrent larynx nerve. All patients underwent surgery with using semiconductor laser "Lika - surgeon." Results of treatment made it possible to draw a conclusion that microlaryngoscopy with laser vaporization of papillomas can reduce frequency of relapses by 15.4% during the first year after surgery as compared to the control group. Using of semiconductor laser in patients with bilateral paresis of the larynx allows to more effectively restore compensated breathing through upper airways as compared with the control group. Application of laser in phonosurgery allow to save a good voice function in 76.9% of patients.

Treatment-Resistant Juvenile Bipolar Disorder with Psychosis

13-year-old white male was admitted to the child and adolescent psychiatry unit at our institution. He was referred to us by his outpatient therapist. He had become increasingly aggressive (both verbally and physically), agitated, unable to sit still, and was pacing and talking incessantly. His speech was pressured, rapid, and mumbled. He was acting out sexually by masturbation. He also had auditory hallucinations (was hearing a “good voice”) but no visual hallucinations. He had paranoid ideations that someone was breaking into his home, and he was talking to himself and responding to internal stimuli. His sleep and concentration were reduced but his appetite was adequate. Suicidal and homicidal ideations were absent. His symptoms had been getting worse in the weeks prior to

Evaluation of Efficiency of Transcoding Steganography

Abstract Nowadays cyber criminalists’ interest in incorporation of steganography into armory of rogue hackers is on the rise and information hiding techniques are becoming the new black among Black Hats. In this paper we focus on analyzing the efficiency of the recently proposed IP telephony information hiding method called transcoding steganography (TranSteg) that enables hidden communication with a high steganographic bandwidth while retaining good voice quality. Specifically, we focus on analyzing which voice codecs would be the most favourable for TranSteg to minimize the negative influence on voice quality while maximizing the obtained steganographic bandwidth and limiting the risk of detection.

Distinct phenotypes of speech and voice disorders in Parkinson's disease after subthalamic nucleus deep brain stimulation

ObjectivesTo elucidate the phenotypes and pathophysiology of speech and voice disorders in Parkinson's disease (PD) with subthalamic nucleus deep brain stimulation (STN-DBS).MethodsWe conducted a cross-sectional study on 76 PD patients...

Management of laryngeal trauma: Case reports and literature review

But de la presentation External laryngeal trauma is rare, accounting for less than 1 % of all trauma cases seen at major centers. We aim to report two clinical cases and to improve the care of acute laryngeal trauma by reviewing controversies and the evolution of treatment. Materiel et methodes We report two clinical cases along with images of videolaryngoscopy, CT scans and surgeries. We reviewed primary topics such as laryngeal trauma, laryngeal injury, and airway trauma through internet-based search engines and manual searches. Resultats Case report 1: a 76-year-old man without relevant medical history presented to our hospital after falling from a 3 meters wall. He experienced multiple injuries, including a laryngeal trauma. The primary signs and symptoms of his laryngeal trauma were hoarseness and dyspnea. Flexible endoscopy revealed laryngeal œdema and haematoma, bilateral vocal fold paralysis and dislocation of right aritnoid. Computed tomography (CT) showed cricoid cartilage fracture. The patient underwent immediate surgical exploration and tracheostomy. Postoperatively pain, dysphagia and food aspiration persisted. He had to undergo further surgeries to optimize laryngeal function. The patient was discharged with regained airway patency and with no food aspiration. Case report 2: a 40-year-old man with schizophrenia presented to our hospital after a 48-hour period of immobilization in a mental health institution. On arrival to the emergency department he was extremely agitated, febrile and had face and neck emphysema. Thoracic and neck CT scan were performed. Thyroid cartilage fracture was observed and other causes of emphysema were excluded. In the operating room we identified a minor laryngeal laceration, reduced the thyroid cartilage fracture and performed tracheostomy. The patient was discharged 12 days after surgery with normal swallowing, good voice quality and airway function. Laryngeal trauma is a rare injury and may result in lifelong complications or even death if diagnosis or treatment is delayed. Directed history, physical examination, laryngeal endoscopy and CT imaging help to delineate injuries and course of treatment. The choice of intubation, tracheotomy, cricothyrotomy and surgical repair must be individualized. Sufficient experience now exists to recommend specific treatments, and to preserve voice and airway function. Conclusion Acute laryngeal trauma caused by either blunt or penetrating injuries is a difficult airway management problem. The recognition and initial proper management of this injury is essential to a successful outcome.

The Study of Quranic Teaching and Learning: United Kingdom Experience

Al-Quran is the revelation to Prophet Muhammad (PBUH) started with the word “Iqra’’. Prophet (PBUH) had implemented five principles of al-Quran teaching and learning which his companions and the next generation follow until today. The model consist of Tilawah (good and fluency recitation), Tafahum and Tafsir (knowing and understanding the meaning), Tatbiq (appreciate and implantation of the teaching in daily life), Tahfiz (memorizing some verses for practice and reciting during prayer) and Taranum (reciting al-Quran with a good voice and proper song). In this part of the article, the main areas of discussion will be how the Qur’an is taught in the Muslim community in particular in their mosques, madrasas and community centres and hence their method of teaching and then how it is perceived by the audience i.e. the students, teachers and also parents. The study found that the teachers have been using a variety of strategies in implementing quranic teaching and learning, some teaching methods such as conventional and others reflect new methods taking into consideration the different abilities of the children. This style of teaching totally ignores the quality of recitation and teaching with the rules of Tajwid. This article will then lead to a conclusion, which will include some suggestions on how to improve the main curriculum and how the Qur’an should be taught.

Ocena jakości głosu po usunięciu nowotworów T1 i T2 głośni z jednoczesną rekonstrukcją fałdu głosowego uszypułowanym płatem z mięśnia mostkowo-tarczowego

IntroductionIn recent years there has been an increasing number of cases of cancer, including cancer of the larynx. The choice of treatment should be primarily dictated by the complete elimination of cancer, but from the point of view of the patient, an important factor to keep in mind, is the quality of the voice that will be created at the end of the therapeutic process. AimThe aim of this study was to evaluate the voice quality of patients after partial surgery of the larynx with vocal fold reconstruction pedunculated sterno-thyroid muscle flap. Materials and MethodsThe study included 30 men aged 53–72 years who were treated at the Clinic of Otorhinolaryngology Department of Medical-Dental Medical University of Warsaw on account of cancer of the larynx, qualified according to the TNM classification T1 or T2. The radical removal of cancer was associated with resection of one vocal fold, laryngeal pouches and ventricular fold. In 15 patients, included to the group I at the end of phase oncology surgery, a reconstruction of “vocal fold” pedunculated sterno-thyroid muscle flap were performed simultaneously. The group II consisted of 15 patients who underwent surgery that removed only the cancerous lesions. Impact assessments arising after surgery of voice disorders on quality of life were made using the self-test failure of the voice (Voice Handicap Index in the Pruszewicz modification). The nature of the created voice was studied using GRBAS scale. All patients performed the laryngostroboscope examination. With “IRIS” program, prepared by a team at Wrocław University of Technology, the voice was recorded, and then was subjected to acoustic analysis. In addition, noise level and the maximum phonation time was measured. ResultsThe results indicate that the patients of group I gained a better voice confirming the values of objective acoustic analysis. The assessment made by the scale GRBAS patients who supplemented the resulting loss after tumour removal, with much less hoarseness of voice, did not have the hyperkinesis and there was no puff character. They had the better flow of voice and phonation time of vowels “a” was much longer. The assessment of quality of life of patients in group I made in a test of the VHI was higher than in group II. The laryngostroboscope examination confirmed a good phonatory occlusion and a nearly regular, healthy vocal fold vibration in patients who had received flap of muscle. ConclusionsEvaluation of the quality of voice after removing the tumor multiplicity in the glottis with simultaneous reconstruction “vocal fold” has confirmed that this is a very good surgical technique, which allows radically curing cancer for the simultaneous preservation of a good voice. The operation has limited indications for radiotherapy because of the desire to preserve the phonatory function of the larynx, and thus avoids the negative effects of radiation.

Enhanced Quality of Service in Worldwide Interoperability for Microwave Access Networks

The WiMAX system effectively supports wide variety of broadband wireless access technologies, which including high speed internet and multimedia access with high Quality of service (QoS) requirements. Real time services such as VoIP are becoming popular and are major revenue earners for network service providers. However, there are still many challenges that need to be addressed to provide a steady and good quality voice connection over the best effort WiMAX network .To support flexibility, efficiency and various requirements of QoS over a range of different applications and environments several provisioning and mechanisms are provided .This research paper investigates the performance of VoIP traffic over WiMAX networks, the impact of various voice codec schemes and statistical distribution for VoIP over WiMAX has been investigated in detail. Through various simulation experiments under realistic networking scenarios, this study provides an insight into the VoIP performance in the WIMAX networks. The simulations results indicate that better choice of voice codec's and statistical distribution have significant impact on VoIP performance in the WiMAX networks and Performance of selected parameters will be done using the network simulator OPNET

Cepstral Characteristics of Voice before, during and after Menopause: A Cross-sectional Study

ABSTRACT Background Previous studies on effects of menopause on voice characteristics have not compared the voice characteristics before, during and after menopause. It is also possible that these voice changes cannot be captured by traditional acoustic measures such as frequency and amplitude perturbation measures. Hence a robust acoustic tool such as cepstrum was chosen to capture these vocal changes before, during and after menopause and hence the present study was attempted. Method The present study followed a cross-sectional study design. The participants consisted of 25 premenopausal women, 25 perimenopausal women and 25 postmenopausal women. Sustained production of/a/ and narration was recorded using Z tool and cepstral peak prominence (CPP) and smoothened cepstral peak prominence (CPPS) was analyzed. Results The results of one-way ANOVA revealed that there was a significant main effect of the group at p < 0.05 for all the cepstral measures targeted in the study. Post hoc analysis indicated that there was no significant difference between pre and perimenopausal women for all the cepstral measures at p < 0.05. However, there was a significant difference between pre and postmenopausal women and peri and postmenopausal women at p < 0.05. These results suggests that postmenopausal women had overall good voice quality than pre and perimenopausal women. Conclusion Results indicated that post menopausal women had increased cepstral measures when compared to pre and perimenopausal women. Further, studies are required to correlate laryngeal examination and hormonal levels with that of the voice changes before, during and after menopausal women. How to cite this article Balasubramanium RK, Bhat JS. Cepstral Characteristics of Voice before, during and after Menopause: A Cross-sectional Study. Int J Phonosurg Laryngol 2014;4(2):50-54.

An Analysis of the Global and Partial Voice Handicap Index in Patients with Early Glottic Carcinoma Treated with High Level of Irradiation

Background: This is a retrospective study on a group of patients with early glottic carcinoma, treated with curative radiotherapy. The aim of the study is to assess voice quality after treatment. We also evaluated local recurrence, overall survival, disease free survival and toxicity. Material and Methods: We examined a total of 36 patients, out of which 27 were smokers: 10 females/5 smokers; 26 males/22 smokers. The sample was observed from January 2007 to July 2012 (average follow-up period: 33.5 months, range 12 - 76). Diagnosis of early glottic carcinoma was eight during the two-year period 2007/2008, nine during 2009/2010, eleven during year 2011 and eight during year 2012. All patients suffering from early glottic carcinoma, histopathologically confirmed, were classified as follows: 24 patients T1a, 3 patients T1b, 6 patients T2 and 3 patients had a carcinoma in situ. They were treated only with conventional radiotherapy. After the treatment (total dose 70 Gy), patients were asked to fill out the Voice Handicap Index (VHI) questionnaire, composed of 30 questions that covered physical, emotional and functional areas. Results: The global VHI was evidenced with good voice quality (62% of patients: VHI - 60). Vocal disability was mild in over 70% of patients within the physical area and over 80% within the emotional area. We observed two local recurrences, one occurred five years after the end of radiation therapy and one six months after. In terms of toxicity, we observed that acute reactions, such as dysphonia, dysphagia and erythema, were relatively limited. Conclusions: The VHI index suggests that radiotherapy produces acceptable functional results, with limited repercussion on life quality. In line with literature, our data confirmed good cure rates and larynx preservation (94.4%).