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Significant vocal decline was observed in all 35 (100%) patients, indicated by pre-treatment VRQOL scores exceeding 25. A statistically significant improvement in vocal function was seen 12 weeks after radiotherapy (p0.05). In contrast, VRQOL scores at the 12th and 24th week time points showed no statistically significant results. Analyzing the WHOQOL-BREF and WHO DAS II, physical health, mental well-being, and social engagement exhibited noteworthy enhancement in both coh
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