Laryngectomy

Jump to navigation Jump to search
The printable version is no longer supported and may have rendering errors. Please update your browser bookmarks and please use the default browser print function instead.

Template:Interventions infobox

WikiDoc Resources for Laryngectomy

Articles

Most recent articles on Laryngectomy

Most cited articles on Laryngectomy

Review articles on Laryngectomy

Articles on Laryngectomy in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Laryngectomy

Images of Laryngectomy

Photos of Laryngectomy

Podcasts & MP3s on Laryngectomy

Videos on Laryngectomy

Evidence Based Medicine

Cochrane Collaboration on Laryngectomy

Bandolier on Laryngectomy

TRIP on Laryngectomy

Clinical Trials

Ongoing Trials on Laryngectomy at Clinical Trials.gov

Trial results on Laryngectomy

Clinical Trials on Laryngectomy at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Laryngectomy

NICE Guidance on Laryngectomy

NHS PRODIGY Guidance

FDA on Laryngectomy

CDC on Laryngectomy

Books

Books on Laryngectomy

News

Laryngectomy in the news

Be alerted to news on Laryngectomy

News trends on Laryngectomy

Commentary

Blogs on Laryngectomy

Definitions

Definitions of Laryngectomy

Patient Resources / Community

Patient resources on Laryngectomy

Discussion groups on Laryngectomy

Patient Handouts on Laryngectomy

Directions to Hospitals Treating Laryngectomy

Risk calculators and risk factors for Laryngectomy

Healthcare Provider Resources

Symptoms of Laryngectomy

Causes & Risk Factors for Laryngectomy

Diagnostic studies for Laryngectomy

Treatment of Laryngectomy

Continuing Medical Education (CME)

CME Programs on Laryngectomy

International

Laryngectomy en Espanol

Laryngectomy en Francais

Business

Laryngectomy in the Marketplace

Patents on Laryngectomy

Experimental / Informatics

List of terms related to Laryngectomy


Overview

Laryngectomy is the surgical removal of the larynx and separation of the airway from the mouth, nose, and esophagus. The laryngectomee breathes through an opening in the neck, a stoma. It is done in cases of laryngeal cancer. However, many laryngeal cancer cases are now treated only with radiation and chemotherapy or other laser procedures, and laryngectomy is performed when those treatments fail to conserve the larynx.

Voice functions are generally replaced with a voice prosthesis placed in the tracheo esophageal puncture created by the surgeon. The voice prosthesis vibrates the esophageal tissue in lieu of the larynx. A second method is the use of an electrolarynx. An electrolarynx is an external device that is placed against the neck and creates vibration that the speaker then articulates. The sound has been characterized as mechanical and robotic. A third method is called esophageal speech. The speaker pushes air into the esophagus and then pushes it back up, articulating speech sounds to speak. This method is time-consuming and difficult to learn and is seldom used by laryngectomees. A fourth method is the use of the UltraVoice speaking device which is built into an upper denture or retainer and worn inside the patient's mouth. The speech from the Ultravoice has computer controlled prosody which changes the pitch creating a more natural sound than the electrolarynx.

Laryngectomees number about 60,000 in the United States. Perhaps 10,000 laryngeal cancer cases are treated annually, but only about 3,000 people are laryngectomized. Because it is a relatively rare cancer and because the post-operative care is complex in achieving a functional result, laryngeal cancer patients should be treated at or at least consult a major federally designated cancer center, where the fields of surgery, radiology, chemotherapy, speech-language pathology are integrated in head and neck departments.

Laryngectomies may be applied to dogs as a debarking procedure.

Template:Respiratory system surgeries and other procedures nl:Laryngectomie de:Laryngektomie


Template:WS Template:Jb1