Laryngectomy is the removal of some or all the voice box, this can be partial or total laryngectomy. Larynx also referred to as the voice box, is a part of the throat, located in the middle of the throat. It performs several functions and the most important being the conduit for air to enter the lungs. Apart from that, it is also responsible for creating the voice.
Laryngectomy is recommended in cases:
Cancer of the larynx
Had severe injury to the neck, like a gunshot wound
Developed radiation necrosis (damage to the larynx stemming from radiation treatment)
Laryngectomy is a lengthy procedure, that can last between 5-12 hours and is performed under general anesthesia.
An incision is made in the neck, through which the surgeon removes the larynx.
Depending on the underlying cause, lymph nodes of the pharynx re removed. If there is treatment pharynx cancer, then there might m partial removal of the pharynx, termed as pharyngectomy.
After the removal of the larynx, a stoma is created, that is a permanent hole about the size of a nickel in front of the trachea. This is directly linked from the outside to the lung, allowing the person to breathe.
Once the surgical procedure is over, the throat muscles and the skin in the neck is stitched with surgical sutures.
Most people need to spend time in the Intensive Care Unit (ICU) so that they can be under constant observation. The patient needs to spend roughly 10-12 days in the hospital, after which physical, speech and language therapy is required.
Laryngectomy refers to the surgical procedure by which the larynx, commonly called
Laryngectomy is a serious, complex, and major surgery that requires careful monitoring and must be performed under the guidance of an experienced surgeon. This radical procedure is warranted in cases of patients suffering from:
During the laryngectomy procedure, the doctor may decide to remove entire larynx or just a part of it, depending on the extent of damage and the condition of the patient. The doctor may even decide to remove a part of the pharynx during the same procedure. A pharynx is a passage between the oesophagus and nasal cavity. The surgeon first makes a slit in the throat of the patient to expose the larynx and the surrounding tissues, which are then removed along with it. In some cancer cases, the surrounding lymph nodes are also removed.
This step is followed up with
Tracheoesophageal Puncture (TEP)
Tracheoesophageal puncture (TEP) is a special procedure, typically conducted along with laryngectomy. During this procedure, a hole is created in the oesophagus and the trachea. After the hole has healed, a prosthetic voice box is attached there so that the patient is able to speak again.
Laryngectomy is a radical procedure and it requires the patient to stay in the hospital at least for a few days after the procedure. The patient spends the initial two days after the surgery in an ICU, wherein all the vital parameters such as heart rate, breathing rate, and blood pressure are carefully monitored. The patient is unable to eat anything until the wound in the throat completely heals. The patient gets all the nutrition through a feeding tube. The neck may remain painful for many days and medications are given to manage pain and swelling.
The patients are advised to move around a bit to prevent blood clots from building up. In addition, special care is needed to prevent stoma from infection as potentially harmful viruses and bacteria can enter the body through this newly created opening in the throat. It takes a long time for the patient to adjust to the changes in their throat and neck after the removal of their voice box. In the absence of a TEP, the patients are advised to consult a counsellor who can help with non-verbal communication and oesophagal speech.
Just like any other surgery, a patient who undergoes laryngectomy is at an increased risk of suffering from
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