Our Summary

This research paper discusses the importance of properly removing the affected part of the thyroid gland during a Laryngectomy, which is a surgery to remove the larynx or voice box. The researchers suggest that thorough removal of the infected thyroid tissue is key for the best long-term results, both in terms of the patient’s normal function and chances of surviving cancer. They base their suggestions on existing research and their own professional experiences in managing the thyroid gland during these surgeries.

FAQs

  1. What is the significance of optimal resection of the involved portion of the thyroid gland in a Laryngectomy?
  2. What is the proposed concept for the removal of infiltrated thyroid glandular tissue during a laryngectomy?
  3. How does cross-sectional imaging and perioperative finding aid in managing the thyroid gland in laryngectomies?

Doctor’s Tip

One helpful tip that a doctor might tell a patient about laryngectomy is to ensure proper follow-up care with an endocrinologist to monitor thyroid function and address any potential complications related to thyroid removal during the surgery. It is important for patients to stay vigilant about any changes in their health and communicate with their healthcare team to ensure optimal long-term outcomes.

Suitable For

Patients who are typically recommended for a laryngectomy are those with advanced laryngeal cancer that has not responded to other treatments such as radiation therapy or chemotherapy. These patients may have tumors that are too large or have spread to surrounding tissues, making it necessary to remove the larynx to prevent further spread of the cancer. Additionally, patients with recurrent or persistent cancer in the larynx may also be candidates for a laryngectomy. It is important for these patients to undergo a thorough evaluation by a multidisciplinary team of healthcare providers to determine the best course of treatment, including the extent of thyroidectomy that may be necessary.

Timeline

Before laryngectomy:

  • Patient may experience symptoms such as hoarseness, difficulty swallowing, and breathing issues.
  • Patient undergoes various diagnostic tests such as imaging studies, biopsies, and blood tests to determine the extent of the cancer and plan for surgery.
  • Patient may undergo pre-operative counseling and education about the procedure and potential outcomes.

After laryngectomy:

  • Patient undergoes surgery to remove the larynx and possibly surrounding structures such as the thyroid gland.
  • Patient may experience temporary or permanent changes in speech and swallowing abilities.
  • Patient may require speech therapy and rehabilitation to learn new ways of communication and swallowing.
  • Patient may need ongoing follow-up care for monitoring of cancer recurrence and management of any complications.

What to Ask Your Doctor

  1. What is the reason for recommending a laryngectomy?
  2. What are the potential risks and complications of the surgery?
  3. How will the laryngectomy affect my ability to speak and swallow?
  4. Will I need any additional treatments after the laryngectomy, such as radiation therapy or chemotherapy?
  5. How long is the recovery process expected to take?
  6. What kind of support or rehabilitation services are available for patients after a laryngectomy?
  7. How often will I need follow-up appointments after the surgery?
  8. What can I expect in terms of long-term outcomes and quality of life after a laryngectomy?
  9. Are there any specific dietary or lifestyle changes I should make to support my recovery after the surgery?
  10. Are there any alternative treatments or procedures that could be considered instead of a laryngectomy?

Reference

Authors: Varghese BT, Janardhan D, Mathew Iype E. Journal: Oral Oncol. 2020 Nov;110:104818. doi: 10.1016/j.oraloncology.2020.104818. Epub 2020 May 29. PMID: 32482522