Laryngectomy, total

Laryngectomy, total

A total laryngectomy is a surgical procedure that involves the complete removal of the larynx, also known as the voice box. The larynx plays a crucial role in breathing, eating, and speaking. This procedure is most commonly performed to treat laryngeal cancer, severe larynx damage due to trauma or injury, or radiation necrosis.

Types 

There are three types of Laryngectomy:

• Partial laryngectomy

In a partial laryngectomy, only a portion of the larynx is removed, typically for smaller tumors.

• Supraglottic laryngectomy

This procedure involves the removal of the larynx located above the vocal cords.

• Hemilaryngectomy

Hemilaryngectomy is a treatment option for small cancers of the vocal cords.

Causes 

The causes of Total Laryngectomy include:

• The most common reason for a total laryngectomy is the presence of laryngeal cancer.
• In cases of severe trauma or injury to the larynx, a total laryngectomy may be necessary.
• Radiation treatment for cancer can sometimes cause damage to the larynx, leading to the need for a total laryngectomy.

Symptoms 

The signs and symptoms of Total Laryngectomy are:

• After a total laryngectomy, a person will breathe through a stoma, a surgically created hole in the neck, which bypasses the larynx.
• Since the larynx is removed, individuals who undergo a total laryngectomy will permanently lose their ability to speak using their vocal cords.
• The removal of the larynx can affect the swallowing mechanism, leading to difficulties in swallowing.
• The surgery may result in changes in the appearance of the neck due to the presence of a stoma.

Diagnosis of Total Laryngectomy

The tests and labs required to diagnose Total Laryngectomy include:

• Physical examination

A thorough examination of the throat and neck is conducted to assess the condition of the larynx.

• Imaging tests

Imaging tests such as CT scan, MRI, or PET scan may be performed to determine the extent of the cancer or damage to the larynx.

• Biopsy

A biopsy may be performed to confirm the presence of cancer in the larynx.

Laryngectomy, total Review for entitlement to special monthly compensation under §3.350 of this chapter