Our Summary

This research paper explores the link between a type of throat surgery called laryngectomy and chronic constipation in patients. Laryngectomy is a surgery where the whole larynx is removed and can cause patients difficulty in holding their breath. This could potentially lead to chronic constipation. In the study, the researchers found that people who had a total laryngectomy, where the entire voice box is removed, were more likely to experience chronic constipation than those who had a pharyngolaryngectomy, where both the voice box and part of the throat are removed. Interestingly, the rate of constipation in those who had a pharyngolaryngectomy was similar to that of the general public. Moreover, patients who were closer to their surgery date were more likely to experience constipation. The study suggests that constipation is a common problem for patients who have had a laryngectomy for head and neck cancer, especially if it’s a total laryngectomy and if the surgery was recent.

FAQs

  1. What is a laryngectomy and how does it potentially contribute to chronic constipation?
  2. Are individuals who have had a total laryngectomy more likely to experience chronic constipation than those who have had a pharyngolaryngectomy?
  3. Does the likelihood of experiencing constipation after a laryngectomy change with the time since the surgery?

Doctor’s Tip

A doctor might advise a patient who has undergone a laryngectomy to stay hydrated, eat a high-fiber diet, and engage in regular physical activity to help prevent or alleviate chronic constipation. They may also recommend speaking with a dietitian or gastroenterologist for personalized advice on managing bowel function post-surgery. Additionally, practicing good bowel habits, such as establishing a regular routine for bowel movements, can also be beneficial.

Suitable For

Patients who are typically recommended for a laryngectomy include those with:

  1. Laryngeal cancer: Laryngectomy is often recommended as a treatment for laryngeal cancer, especially if other treatments such as radiation therapy or chemotherapy have not been successful.

  2. Severe damage to the larynx: Patients who have experienced severe trauma or damage to their larynx, such as from a gunshot wound or a severe injury, may require a laryngectomy to restore their ability to breathe and speak.

  3. Recurrent or advanced laryngeal papillomatosis: Laryngectomy may be recommended for patients with recurrent or advanced cases of laryngeal papillomatosis, a condition characterized by the growth of benign tumors in the larynx.

  4. Severe laryngeal stenosis: Laryngectomy may be necessary for patients with severe narrowing or blockage of the larynx (laryngeal stenosis) that cannot be treated with other interventions.

  5. Chronic aspiration: Patients who have chronic aspiration, where food or liquids enter the airway instead of the esophagus, may require a laryngectomy to prevent further complications such as pneumonia.

  6. Failed laryngeal reconstruction: In some cases, patients who have undergone previous laryngeal reconstruction surgeries that have failed may be recommended for a laryngectomy to improve their quality of life and prevent further complications.

Timeline

Before laryngectomy:

  1. Diagnosis of head and neck cancer
  2. Consultation with a surgeon to discuss treatment options
  3. Decision to undergo laryngectomy surgery
  4. Pre-operative preparations, including tests and evaluations
  5. Surgery to remove the larynx

After laryngectomy:

  1. Recovery period in the hospital
  2. Rehabilitation to learn how to speak and swallow without a larynx
  3. Adjustment to life without a voice box
  4. Potential complications such as chronic constipation
  5. Follow-up appointments with healthcare providers
  6. Continued rehabilitation and support to adapt to life post-laryngectomy.

What to Ask Your Doctor

  1. What are the potential side effects or complications of a laryngectomy surgery, including the risk of chronic constipation?

  2. How can I prevent or manage chronic constipation after a laryngectomy surgery?

  3. Are there any lifestyle changes or dietary modifications I should make to help with constipation post-surgery?

  4. Are there any medications or treatments available to alleviate constipation symptoms after a laryngectomy?

  5. How often should I follow up with my healthcare provider to monitor and address any issues related to constipation following a laryngectomy?

  6. Are there any support groups or resources available for patients who have had a laryngectomy and are experiencing chronic constipation?

  7. What are the long-term implications of chronic constipation after a laryngectomy surgery, and how can it impact my overall health and quality of life?

  8. Are there any other potential complications or health concerns I should be aware of following a laryngectomy surgery, and how can I best manage them?

  9. How can I communicate effectively with my healthcare team about any concerns or symptoms related to chronic constipation post-laryngectomy?

  10. Are there any specific exercises or techniques I can use to improve bowel function and prevent constipation after a laryngectomy surgery?

Reference

Authors: Harada Y, Matsuki T, Miyamoto S, Kano K, Tsutsumi S, Momiyama K, Yamashita T. Journal: Eur Arch Otorhinolaryngol. 2023 Jan;280(1):419-423. doi: 10.1007/s00405-022-07600-7. Epub 2022 Aug 24. PMID: 36001135