Partial resection of the larynx

Laryngectomy is a complex surgical operation, complete or partial removal (resection) of the larynx. The organ will be partially or completely removed, the specialist determines, taking into account the severity of the disease.

What is the role of the larynx in our body?

The larynx plays an extremely important functional and anatomical role:

takes part in breathing;
participates in swallowing;
one of the main organs of speech production.

The earlier the patient is diagnosed with a disease, the less the amount of surgical intervention will be required and it will be possible to partially save the organ from complete removal. But laryngectomy is the only life-saving option for advanced laryngeal cancer.

When is laryngeal resection indicated?

The main indications for the operation are massive traumatic destruction of the larynx and malignant involvement of the larynx in the pathological process.

How is the surgery performed?

Before surgery, the patient undergoes a comprehensive examination (biopsy of the affected area, computed tomography, general clinical examinations). This allows you to minimize operational risks.

The operation is performed under general anesthesia. The duration of the laryngectomy is about 5-8 hours.

An incision is made in the skin above the larynx, after which the larynx with the surrounding muscle tissue is isolated in layers. Resection of the larynx is performed within the boundaries of healthy tissue. A special breathing tube (tracheostomy) is inserted into the trachea. The wound is sutured in layers - a suture on the muscles and the skin.

How is your recovery from surgery going?

After the surgery, the patient is transferred to the intensive care unit for several days under the close supervision of the medical staff. In the first days, tubes for breathing and feeding (probes) will be installed, which will then be removed, after which the patient will resume the skills:

breathe through a tracheostomy;
to swallow;
restoration of the ability to speak by one of the methods.

You will stay in the clinic for about 2 weeks. This is followed by a period of long-term rehabilitation, which will require your endurance and patience.

What are the consequences of a laryngectomy?

If the tumor is localized in the upper part of the larynx, then when eliminating it, the surgeon does not affect the vocal cords. Thus, the patient remains able to speak normally. For some time, you will have to breathe through a tube in the trachea, which will release the operated organ from the load until it is fully restored.

After a total laryngectomy, the patient misses the opportunity to speak. This is due to the removal of the larynx along with the vocal cords. But there are methods to rehabilitate the voice: esophageal and tracheoesophageal tongue, as well as the use of voice-forming equipment.

Laryngectomy is a very difficult operation. In addition, during the recovery period, a lot of effort and patience are required from the patient himself. Fortunately, today there are unique devices that allow the patient to fully speak after surgery.

Why is it worth being operated on in clinics of the Dobrobut medical network?

To perform laryngectomy at an affordable price in Kyiv, contact Dobrobut MC because we have:

highly qualified otorhinolaryngologists who have extensive clinical experience and skills, and are the best specialists in this field, both in Ukraine and abroad;

the most modern equipment for performing surgical interventions;

comfortable conditions of stay in the clinic;

all tools and consumables are only disposable, from the best European and American manufacturers;

full support of the patient at the stages of treatment and rehabilitation.

How to sign up for an operation at the Dobrobut MC?

You can find out the details of the operation, the cost of the examination, and the cost of resection of the larynx in the Dobrobut medical center, as well as sign up for a consultation with a doctor by filling out the feedback form on our website, or by calling the call center number.

Bibliography

Britt CJ, Gourin CG. Contemporary Management of Advanced Laryngeal Cancer. Laryngoscope Investig Otolaryngol. 2017;2(5):307-309.
Leeman JE, Katabi N, Wong, RJ, Lee NY, Romesser PB. Chapter 65 - Cancer of the Head and Neck. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff’s Clinical Oncology. 6th ed. Philadelphia, Pa: Elsevier; 2020.
Salvador-Coloma C, Cohen E. Multidisciplinary Care of Laryngeal Cancer. J Oncol Pract. 2016;12(8):717-724.
Shenoy AM, Prashanth V, Shivakumar T, et al. The utility of second look microlaryngoscopy after trans oral laser resection of laryngeal cancer. Indian J Otolaryngol Head Neck Surg. 2012;64(2):137‐141.