Laryngectomy in South Africa

Treatment and Cost

15

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2 No. Travelers

5 Day in Hospital

10 Days Outside Hospital

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About the Laryngectomy

Laryngectomy refers to the surgical procedure by which the larynx, commonly called as the voice box, is removed, either partially or completely. It is a major surgery performed under the influence of general anesthesia. It is performed as a part of laryngeal cancer treatment or throat cancer treatment.

Th larynx is a small organ located in the throat. It provides a pathway for air and also possesses voice cords that help produce sound. Removal of the voice box, thus, affects breathing, swallowing and speech and the patient has to perform all these three activities through different mechanism after the surgery. 

Who requires laryngectomy?

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:

  • Cancer of the larynx or throat
  • Damage to larynx from past radiation treatment
  • Severe injury to the voice box

How is Laryngectomy performed?

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 a creation of a hole in the neck, which is connected to the trachea. The hole is called stoma, which is placed there permanently. This procedure is also known as a tracheostomy. The cuts made are closed with the help of stitches and the wound is left to heal.

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.

Recovery from Laryngectomy

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 bleeding, infection, breathing problems or an allergic reaction to anaesthesia. Some other risks specific to laryngectomy may include infection in the wound, hematoma, stomal stenosis, problem eating and swallowing food, and damage to parts of the oesophagus or trachea.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of South Africa / Why should opt for South Africa as a destination for your medical treatment?
Like most countries, hospitals in South Africa are based upon public and private healthcare systems. There are three main levels of healthcare based upon the payment method of the patient.
  • The full paying patients are those who usually prefer to be treated by a doctor working in the private sector. They can also be funded by an external source. Many non-South African citizens also prefer this treatment service.
  • Fully subsidized patients are those who have been referred from a Primary Healthcare Service Hospital.
  • Partially subsidized patients are patients whose costs are subsidized based on the amount of their income.
The public healthcare system has three main centers for health under its wing:
  • Clinics - These are run by trained professionals and nurses. They can serve as the first point of contact for a patient.
  • Community Healthcare Centre - This is a bigger setup, complete with full-fledged services and doctors and nurses.
  • Hospital - A patient usually gets here after a referral from a clinic or community health center. One can also go in for emergencies. A hospital provides various services like performing surgery and treating chronic illnesses.
Hospitals in South Africa are gearing up to tackle major illnesses and to provide better treatment options. The South African government is also working to introduce policies and towards accommodating more patients from all across the world. It is a great country to find affordable treatment options.
What are the conditions of the hospitals in South Africa? Are they JCI certified? What is the quality of the support staff in the hospitals
The Joint Commission International (JCI) accredits and certifies most health care organizations and programs all around the world. Joint Commission International Accreditation and Certification is recognized as the global leader for health care quality of care and patient safety.
Are the doctors/surgeons in South Africa of the best quality?
Doctors associated with Medigence are of the best quality. We hope to give our patients a pleasant experience and the best doctors we can find. Since South Africa has a lot of requirements in the field of healthcare, the country attracts doctors from all over the world to contribute their services. This can help to ensure that even you receive the best quality of doctors.
What is the process for obtaining a medical visa in South Africa?
One can apply for a visa to South Africa for a period of 90 days. The High Commission of India can then help one decide for how long a visa can be extended. This usually differs from person to person. The Medical Visa allows a person to stay for a maximum of six months with a valid visa. After this, one can go to the FRO office ( Foreigner’s Registration Office ) or FRRO (Foreigner's Regional Registration Office) and request for an extension. Do note that the validity of a visa begins on the day it is issued by the High Commission of India and not on the date of departure. Applications for visas will not be accepted more than 30 days prior to departure.
What support services does MediGence provide in the United Arab Emirates?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in South Africa for medical treatment?
While many cities are striving to create some of the best hospitals in South Africa, Durban, Lenasia, and Cape Town already have some very good hospitals for treatment in South Africa. Located in Durban, Ethekwini Hospital and Heart Centre is a reasonable and affordable hospital in South Africa. Life Kingsbury Hospital in Capetown provides a holistic healing environment for patients. One can also opt for the Ahmed Kathrada Private Hospital in Lenasia. This hospital has been running for nearly 30 years now and various medical facilities can be availed from here.

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