Our Summary

This research paper discusses a surgical method called total laryngectomy, used to treat dogs with laryngeal cancer, a rare and difficult health issue. The study looked at six dogs who received this surgery. The results showed that the dogs had a similar quality of life after the surgery as they would have with a permanent tracheostomy alone, a procedure where a hole is made in the windpipe to assist with breathing. Most of the dogs had successful surgeries, with the cancer removed completely. All dogs survived and were able to leave the hospital. There were some complications related to the tracheostomy, such as blockage or collapse. One dog experienced a suspected recurrence of the cancer. The research concludes that the surgery seems to be a viable treatment method for this type of cancer in dogs.

FAQs

  1. What is the purpose of a total laryngectomy in dogs?
  2. How effective was the total laryngectomy surgery in treating dogs with laryngeal cancer according to the research study?
  3. What were some complications encountered post-surgery in the studied dogs?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laryngectomy is to practice good communication techniques, such as using a communication device or learning to speak using esophageal speech or an electrolarynx. It is also important to keep the stoma clean and moisturized to prevent infection and to attend regular follow-up appointments with your healthcare provider. It is crucial to follow any post-operative care instructions given by your doctor to ensure a successful recovery. Additionally, joining a support group or seeking counseling can help with the emotional and psychological adjustment to life after laryngectomy.

Suitable For

Patients who are typically recommended for laryngectomy are those with laryngeal cancer that cannot be treated with other methods such as radiation therapy or chemotherapy. Laryngectomy may also be recommended for patients with severe damage to the larynx due to trauma or other health conditions. Additionally, patients who are unable to tolerate other treatments or who have recurrent laryngeal cancer may also be candidates for laryngectomy. It is important for patients to discuss their treatment options with their healthcare provider to determine if laryngectomy is the best course of action for their specific situation.

Timeline

Before laryngectomy:

  • Patient experiences symptoms of laryngeal cancer such as hoarseness, difficulty swallowing, and a persistent cough
  • Patient undergoes diagnostic tests such as a laryngoscopy, biopsy, and imaging scans to confirm the presence of cancer
  • Patient meets with a team of healthcare professionals to discuss treatment options, including surgery, radiation therapy, and chemotherapy
  • Patient undergoes preoperative evaluations and preparations for surgery

After laryngectomy:

  • Patient undergoes total laryngectomy surgery to remove the larynx and part of the surrounding tissue
  • Patient may require a temporary tracheostomy to help with breathing during the initial recovery period
  • Patient undergoes postoperative care, including pain management, wound care, and rehabilitation to learn how to speak and swallow without a larynx
  • Patient may need to adjust to changes in their appearance and voice after surgery
  • Patient undergoes follow-up appointments and monitoring to check for any signs of cancer recurrence or complications
  • Patient may require ongoing support and therapy to cope with the physical and emotional effects of laryngectomy.

What to Ask Your Doctor

  1. What is a total laryngectomy and why is it being recommended for me?
  2. What are the potential risks and complications associated with a total laryngectomy?
  3. How will my ability to speak be affected by a total laryngectomy?
  4. What changes can I expect in my daily life after a total laryngectomy?
  5. How long will the recovery process take and what can I do to aid in my recovery?
  6. Will I need any additional therapies or treatments after the surgery?
  7. What is the long-term prognosis for someone who has undergone a total laryngectomy?
  8. Are there any support groups or resources available for individuals who have had a total laryngectomy?
  9. How often will I need follow-up appointments and monitoring after the surgery?
  10. Are there any specific lifestyle changes I should make to improve my overall health and well-being following a total laryngectomy?

Reference

Authors: Matz BM, Henderson RA, Lindley SS, Smith AN. Journal: Vet Comp Oncol. 2021 Dec;19(4):678-684. doi: 10.1111/vco.12681. Epub 2021 Feb 2. PMID: 33459496