Total laryngectomy

Total laryngectomy is a surgical procedure, most commonly used for the treatment of laryngeal cancer. The procedure involves the complete removal of the larynx, and the separation of the airway from the mouth, nose and esophagus. The patient will breathe through an opening in the neck, known as a stoma.

Procedure

The procedure is performed under general anesthesia. The surgeon makes an incision in the neck and removes the entire larynx, including the vocal cords. The windpipe is then brought out through an opening in the neck to create a stoma. This allows the patient to breathe but they will no longer be able to speak in the traditional way.

Postoperative care

After the surgery, the patient will need to learn new ways of speaking. This can be achieved through esophageal speech, an electrolarynx, or a tracheoesophageal puncture. The patient will also need to learn how to care for the stoma and how to prevent infections.

Risks and complications

As with any major surgery, total laryngectomy carries risks including infection, bleeding, and reaction to anesthesia. Specific complications related to total laryngectomy may include difficulty swallowing, changes in voice, and changes in appearance.

See also

• Laryngeal cancer
• Stoma
• Electrolarynx
• Tracheoesophageal puncture

Total laryngectomy Resources
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