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+    Diagnosed Aug 2005

+     Bipap March 2007

+     PEG July 2007

+     Trache and Vent July 2008

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This is becoming a more common procedure for people with ALS because it does not allow any saliva, phlegm, mucus and/or food to be aspirated. This procedure closes off the esophagus from the trachea, it also brings an end to talking.

Total laryngectomy:

Stages III and IV laryngeal and hypopharyngeal cancers usually require removal of the entire voice box. With the removal of the voice box, the windpipe is then brought up to the skin of the neck as a stoma (or hole) which the patient will breathe through.

Laryngectomy is the removal of the larynx and separation of the airway from the mouth, nose, and esophagus. The laryngectomee breathes through an opening in the neck, a stoma. It is done in cases of laryngeal cancer. However, many laryngeal cancer cases are now treated only with radiation and chemotherapy or other laser procedures, and laryngectomy is performed when those treatments fail to conserve the larynx.

Definition

Laryngectomy is surgery to remove the larynx (voice box) in your throat. All or part of the larynx may be removed in a laryngectomy.

Overview & Description

Total laryngectomy is major surgery that is done in the hospital. Before surgery you will receive general anesthesia. This will make you unconscious and unable to feel pain.

In a total laryngectomy, first your surgeon will make an incision (cut) in your neck to open up the area. Important parts of this surgery are:

* Your surgeon may remove the lymph nodes.

* Your surgeon may do a tracheoesophageal puncture (TEP). A TEP is a small hole made in your trachea (wind pipe) and esophagus (the tube that moves food from your throat to your stomach). Your surgeon will place a small prosthesis (a man-made part) into this opening. The prosthesis will allow you to speak after your voice box has been removed.

* Your surgeon will remove your larynx and the tissues around it.

* Your surgeon will make an opening in your trachea and a hole in front of your neck. Your trachea will be brought up and attached to this hole. The hole is called a stoma. After surgery you will breathe through your stoma. It will never be removed.

* Your muscles and skin will be closed with stitches or clips. You may have tubes coming from your wound for a while after surgery.

There are many less invasive surgeries to remove part of the larynx.

* These may work for some people. The surgery you have may depend on how much your cancer has spread and what type of cancer you have.

* The names of some of these less invasive procedures are endoscopic (or transoral resection), vertical partial laryngectomy, horizontal or supraglottic partial laryngectomy, and supracricoid partial laryngectomy.

Part of your pharynx may be removed in a total laryngectomy. Your pharynx is the tube air moves through from your nose. It connects with your larynx.

The surgery takes 5 to 9 hours.

Why the Procedure Is Performed

Usually laryngectomy is done to treat cancer of the larynx. It is also done to treat:

* Severe trauma, such as a gunshot wound or other physical injury.

* Severe damage to the larynx from radiation treatment. This is called radiation necrosis.

Added: Nov 28, 2010