Our Summary

This research paper is about a surgical procedure used to treat laryngeal cancer, which is a type of cancer that occurs in the larynx or voice box. This procedure is known as open partial horizontal laryngectomies (OPHLs), where only a part of the larynx is removed.

The European Laryngological Society presented a detailed classification of these procedures in 2014. This research provides a video demonstrating the main steps of the OPHL procedure, using a dead body for the dissection. The video also explains the step-by-step process for removing laryngeal tumors. The goal is to provide a clear, visual guide to this surgical technique.

FAQs

  1. What is the role of open partial laryngectomies in the management of laryngeal cancer?
  2. What is the modular approach for removal of laryngeal tumors in an open partial horizontal laryngectomy (OPHL)?
  3. What was the significance of the comprehensive classification of OPHLs presented by the European Laryngological Society in 2014?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laryngectomy is to practice good communication techniques such as using a speaking valve or electrolarynx to help improve speech after surgery. It is important to work closely with a speech therapist to learn how to use these devices effectively and efficiently.

Suitable For

Patients who are typically recommended for laryngectomy are those with laryngeal cancer that has not responded to other treatments such as radiation therapy or chemotherapy. Laryngectomy may also be recommended for patients with advanced stage laryngeal cancer or for those who have recurrent tumors in the larynx. Additionally, laryngectomy may be recommended for patients with severe laryngeal trauma or other conditions that affect the function of the larynx.

Timeline

Before laryngectomy:

  1. Diagnosis of laryngeal cancer
  2. Consultation with oncologist and otolaryngologist
  3. Pre-operative tests and imaging
  4. Discussion of treatment options, including surgery
  5. Consent for laryngectomy surgery
  6. Pre-operative counseling and preparation

After laryngectomy:

  1. Surgery to remove part or all of the larynx
  2. Recovery in the hospital, including monitoring for complications
  3. Rehabilitation with speech therapist and support from a multidisciplinary team
  4. Adjustment to changes in voice and communication
  5. Learning to care for the stoma and use a stoma cover
  6. Follow-up appointments with healthcare providers for monitoring and support
  7. Support groups and resources for individuals living with a laryngectomy.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a laryngectomy procedure?
  2. How will a laryngectomy impact my ability to speak and communicate?
  3. What post-operative care and rehabilitation will be necessary after a laryngectomy?
  4. How will a laryngectomy affect my ability to swallow and eat?
  5. What changes can I expect in my appearance and quality of life after a laryngectomy?
  6. Will I need any additional treatments, such as radiation or chemotherapy, after a laryngectomy?
  7. What support services are available for patients undergoing a laryngectomy, such as speech therapy or counseling?
  8. How long is the recovery period after a laryngectomy, and when can I expect to return to normal activities?
  9. Are there any long-term effects or complications that I should be aware of after a laryngectomy?
  10. What is the success rate for laryngectomy procedures in terms of cancer control and overall patient outcomes?

Reference

Authors: Molteni G, Bertolin A, Gazzini L, Sacchetto A, Marchioni D. Journal: Otolaryngol Head Neck Surg. 2022 Mar;166(3):601-602. doi: 10.1177/01945998211026528. Epub 2021 Jun 29. PMID: 34182822