Our Summary

This research paper discusses the use of CO2 fiber laser technology in ear, nose, and throat (ENT) surgeries, specifically in the partial removal of the larynx (voice box). The authors present three examples of such surgeries. They found that this laser technology helps surgeons perform the procedure with more precision and less damage to the surrounding tissues. This led to less swelling after surgery and a quicker recovery of the voice box’s function. The laser also allows surgeons to perform the procedure without physically touching the organ, and the power of the laser can be adjusted depending on the specific needs during surgery. The researchers conclude that the CO2 fiber laser provides a very effective tool for performing this type of surgery.

FAQs

  1. How does the use of CO2 fiber laser technology improve ENT surgeries, especially laryngectomy procedures?
  2. What are the benefits of using CO2 fiber laser technology in the partial removal of the larynx?
  3. Can the power of the CO2 fiber laser be adjusted during surgery, and how does this contribute to the overall procedure’s effectiveness?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laryngectomy is to practice good communication techniques post-surgery, such as using a communication device or learning how to speak using esophageal or tracheoesophageal speech. It is important for patients to work closely with a speech therapist to improve their communication skills and maintain a positive quality of life after undergoing a laryngectomy.

Suitable For

Patients who are typically recommended for laryngectomy include those with:

  1. Advanced laryngeal cancer: Laryngectomy is often recommended for patients with advanced stage laryngeal cancer that has not responded to other treatment options such as chemotherapy or radiation therapy.

  2. Recurrent laryngeal cancer: Patients who have experienced a recurrence of laryngeal cancer after initial treatment may be recommended for laryngectomy to remove the affected tissue.

  3. Severe vocal cord dysfunction: Patients with severe vocal cord dysfunction, such as paralysis or scarring, may benefit from laryngectomy to improve their voice quality and breathing.

  4. Traumatic injury to the larynx: Patients who have experienced severe traumatic injury to the larynx, such as from a car accident or fall, may require laryngectomy to repair the damage.

  5. Severe laryngeal stenosis: Patients with severe narrowing of the airway in the larynx, known as laryngeal stenosis, may be recommended for laryngectomy to alleviate breathing difficulties.

Overall, laryngectomy is a major surgical procedure that is typically recommended for patients with advanced or severe conditions affecting the larynx that cannot be effectively treated with other interventions.

Timeline

  • Before laryngectomy:
  1. Patient is diagnosed with a condition that requires removal of the larynx, such as cancer of the larynx.
  2. Patient undergoes pre-operative tests and consultations with the surgical team to discuss the procedure and potential outcomes.
  3. Patient may undergo radiation or chemotherapy treatment prior to surgery to shrink the tumor or reduce the risk of cancer spread.
  4. Patient may undergo counseling and speech therapy to prepare for potential changes in communication post-surgery.
  • After laryngectomy:
  1. Patient undergoes the laryngectomy surgery, which involves removal of the larynx and re-routing of the airway to allow for breathing.
  2. Patient may require a temporary tracheostomy tube to help with breathing during the initial recovery period.
  3. Patient undergoes post-operative care, including pain management, wound care, and rehabilitation.
  4. Patient may undergo speech therapy to learn new methods of communication, such as using an electrolarynx or learning esophageal speech.
  5. Patient may require additional support and counseling to adjust to the physical and emotional changes post-surgery, such as changes in appearance and voice.
  6. Patient may require long-term follow-up care and monitoring for potential complications or recurrence of the condition.

What to Ask Your Doctor

  1. What is a laryngectomy and why is it necessary in my case?
  2. What are the potential risks and complications associated with a laryngectomy?
  3. How will my ability to speak, swallow, and breathe be affected after the surgery?
  4. What is the recovery process like and how long will it take for me to regain normal function?
  5. Are there any alternative treatments or procedures that could be considered instead of a laryngectomy?
  6. How experienced are you in performing laryngectomy surgeries and what is your success rate?
  7. Will I need any additional therapies or support after the surgery, such as speech therapy or counseling?
  8. How will the use of CO2 fiber laser technology impact my surgery and recovery compared to traditional methods?
  9. What are the long-term effects of a laryngectomy and how can I best manage them?
  10. Are there any specific lifestyle changes or precautions I should take following the surgery to optimize my recovery and overall well-being?

Reference

Authors: Crosetti E, Fantini M, Maldi E, Balmativola D, Succo G. Journal: Head Neck. 2019 Aug;41(8):2830-2834. doi: 10.1002/hed.25797. Epub 2019 May 8. PMID: 31066480