Background: Voice outcomes following intervention for early glottic tumours have been reported but in small cohorts with short term follow-up.

Design: A non-randomised, comparative study involving retrospective review of T1 to T3 glottic lesions was performed with a 5 year follow-up period.

Results: 67 patients were identified. 31 underwent laser resection, and 36 had radiotherapy. Improved voice outcomes were seen in radiotherapy patients in the first year and long term recovery to a normal voice was statistically faster with radiotherapy.

Conclusions: Long term voice outcomes for radiotherapy and laser treatment are comparable although radiotherapy patients experience worse voice in the first year post treatment. The single treatment event and fewer side effects of laser excision make it a preferred option.

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