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Laryngectomy

Laryngectomy is the partial or complete surgical removal of the larynx. All surrounding tissues whereLaryngectomy the cancer has spread are also removed. Partial laryngectomy is done when cancer is limited to one spot. Laryngectomies may also be performed when other cancer treatment options, such as radiation or chemotherapy fail.

The larynx is located slightly below the point where the throat divides into the esophagus, which takes food to the stomach, and the trachea (windpipe), which takes air to the lungs. Because of its location, the larynx plays a critical role in normal breathing, swallowing and speaking.

Causes

Normally a laryngectomy is performed to remove tumors or cancerous tissue. In rare cases, it may be done when the larynx is badly damaged an accident or an injury. Laryngectomies can be total or partial. Total laryngectomy is the removal of the entire larynx and is done when cancer is advanced.

BRIEF ABOUT THE PROCEDURE

A laryngectomy is done through an incision in the neck. The larynx is removed. Air can no longer pass from the lungs into the mouth, because the connection between the mouth and the windpipe no longer exists. So a new opening for air to enter the lungs must be made in the front of the neck.

The upper portion of the trachea, or windpipe, is brought out to the front of the neck to create a permanent opening. This opening is called a stoma. A tracheostomy tube is placed in the stoma to keep it open until it heals.

Often, an operation called a radical neck dissection is done at the same time as a laryngectomy. This is done to remove the lymph nodes in the neck, to which cancer may have spread.

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