A total laryngectomy
was done under local anaesthesia i.e removal of the whole larynx (Voice Box), part of hypopharynx was removed and reconstruction was done and permanent alternative airway was constructed.
A total laryngectomy
has been performed for a supraglottic (arrow) squamous cell carcinoma (Courtesy of Jason C.
Vocal Rehabilitation after Partial or Total Laryngectomy
. Calif Med 1972; 117: 12-5.
A total of 62 patients who were diagnosed with squamous cell carcinoma and underwent total laryngectomy
with a bilateral neck dissection between May 2010 and June 2016 were retrospectively investigated after obtaining approval from the Ethics Committee of Tepecik Training and Research Hospital (Date 7/03/2017, No:2/7).
Keywords: Amputation of limb, Cortical reorganization, Laryngeal cancer, Phantom limb, Total laryngectomy
Klein et al., "Primary total laryngectomy
versus organ preservation for T3/T4A laryngeal cancer: A population-based analysis of survival," Journal of Otolaryngology--Head and Neck Surgery, vol.
Sinclair, "Voice restoration after total laryngectomy
," Otolaryngologic Clinics of North America, vol.
Years (SD) Mean age 66.51 (8.02) Number of patients (%) Sex Male 42 (97.67) Female 1 (2.33) Subsite Supraglottic 8 (18.60) Transglottic 33 (76.74) Subglottic 2 (4.65) Type of surgery Total laryngectomy
33 (76.64) Partial laryngectomy 10 (23.26) RT after surgery Yes 22 (51.16) No 21 (48.84) CHT after surgery Yes 10 (23.26) No 33 (76.74) Grading G1 5 (11.63) G2 29 (67.44) G3 9 (20.93) pT T3 31 (72.09) T4 12 (27.91) pN N0 27 (62.79) N1 3 (6.98) N2 13 (30.23) N3 0 pM M0 43 (100) M1 0(0) Relapse Yes 23 (53.49) No 20 (46.51) Table 2: Coefficients of the variables included in the Cox proportional hazard model for disease-free survival with lowest AIC.
The incidence of LALC is increasingly high in clinical practice, and the number of LALC patients accounts for about 70% of the total number of laryngeal cancer cases.5 Laryngeal cancer is more sensitive to radiotherapy which can maintain the normal structure and vocal function of patients to improve their quality of life.6 In case of recurrence after treatment, partial laryngectomy or total laryngectomy
can be used, but the methods are not effective for locally advanced laryngeal squamous cell carcinoma.7,8 Chemotherapy is still one of the main methods, which can elevate the retention rate of the larynx.
The loss of laryngeal voice is the main complication resulting from total laryngectomy
. The voice represents the individual's identity and its loss limits social interaction, and the communication of feelings, desires, as well as individual and biological characteristics.
Pensioner Peter Martin had a total laryngectomy
in 2012 after being diagnosed with cancer of the larynx and was fitted with a surgical voice prosthesis.
Objectives: To evaluate the apprehensions, social, sexual and financial problems in patients with advanced laryngeal cancer after total laryngectomy
and the impact of attending laryngeal club on these problems.