Our Summary

This research paper is about the management of advanced laryngeal cancer, specifically T4 laryngeal cancer. The paper presents the trends in how this type of cancer has been treated over the past few decades, and analyzes how successful different treatment methods have been.

To gather this information, the researchers conducted an extensive electronic search of several databases, using specific search terms related to laryngeal cancer and its treatment. They found and reviewed 304 articles published up until June 2017, including various types of studies from clinical trials to descriptive studies.

The paper presents evidence from these studies to support the effectiveness of surgical treatment for T4 laryngeal cancer. It specifically highlights that total laryngectomy (surgery to remove the larynx or voice box) is still considered the best treatment for this type of cancer. This surgical technique has been used for over a century and has proven to be very effective.

The aim of the study is not to declare one treatment method better than another, but to highlight the trends in treatment and the results of following the recommended treatment guidelines. The paper also points out that patient selection can vary between studies, which can impact the results.

FAQs

  1. What is the main focus of this research paper on laryngeal cancer?
  2. What evidence does the paper present to support the use of total laryngectomy as a treatment for T4 laryngeal cancer?
  3. How did the researchers gather the information necessary for this study on laryngeal cancer treatment trends?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laryngectomy is to follow post-operative care instructions carefully. This may include proper wound care, speech therapy, and swallowing exercises to help with recovery and adaptation to the changes in their voice and swallowing function. It is important for patients to communicate any concerns or difficulties they may have with their healthcare team to ensure a successful recovery process.

Suitable For

Typically, patients with advanced laryngeal cancer, specifically T4 laryngeal cancer, are recommended laryngectomy. This is especially true if other treatment options, such as radiation therapy or chemotherapy, have not been effective in controlling the cancer. Laryngectomy may also be recommended if the cancer has spread to surrounding tissues or lymph nodes.

Additionally, patients who have a history of smoking or heavy alcohol use, as these are risk factors for laryngeal cancer, may also be recommended laryngectomy. Patients with significant hoarseness, difficulty swallowing, or breathing problems may also benefit from this surgical intervention.

Overall, laryngectomy is typically recommended for patients with advanced laryngeal cancer who have not responded to other treatment options or who have significant symptoms that are impacting their quality of life. It is important for patients to discuss their treatment options with their healthcare providers to determine the best course of action for their individual situation.

Timeline

Before laryngectomy:

  • Patient may experience symptoms such as hoarseness, difficulty swallowing, a persistent cough, or a lump in the throat
  • Patient undergoes various diagnostic tests such as imaging scans, biopsies, and laryngoscopy to confirm the diagnosis of laryngeal cancer
  • Patient may undergo chemotherapy and/or radiation therapy as initial treatment to shrink the tumor before surgery

After laryngectomy:

  • Patient undergoes surgery to remove the larynx, which may result in changes to speech, swallowing, and breathing
  • Patient may require speech therapy to learn how to communicate without a vocal cord, and may need to use alternative methods such as a voice prosthesis or electrolarynx
  • Patient may require swallowing therapy to adjust to eating and drinking without a larynx
  • Patient may need to adjust to changes in appearance and self-image post-surgery
  • Patient undergoes regular follow-up appointments and imaging scans to monitor for recurrence of cancer

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a laryngectomy surgery?

  2. How will a laryngectomy surgery impact my ability to speak and swallow?

  3. What is the success rate of laryngectomy surgery in treating T4 laryngeal cancer?

  4. What is the recovery process like after a laryngectomy surgery?

  5. Are there any alternative treatment options to laryngectomy for T4 laryngeal cancer?

  6. How will a laryngectomy surgery affect my quality of life in the long term?

  7. What kind of support and resources are available for patients undergoing a laryngectomy surgery?

  8. Are there any specific lifestyle changes or accommodations I will need to make after a laryngectomy surgery?

  9. How often will I need to follow up with my doctor after a laryngectomy surgery?

  10. What are the chances of the cancer recurring after a laryngectomy surgery, and how will it be monitored?

Reference

Authors: Badwal JS. Journal: Pol Przegl Chir. 2018 Aug 6;91(3):30-37. doi: 10.5604/01.3001.0012.2307. PMID: 31243165