Patients Undergoing Total Laryngectomy

Predictors of Salivary Fistulas in Patients Undergoing Salvage Total Laryngectomy

Background. Salivary fistula is a common complication after salvage total laryngectomy. Previous studies have not considered the number of layers of pharyngeal closure and have not classified fistulas according to severity. Our objective was to analyze our institutional experience with salvage total laryngectomy, categorize salivary fistulas based on severity, and study the effect of various ph...

The anesthetic considerations for the patient undergoing total laryngectomy.

Patients with laryngeal tumors may present with a deviated trachea or with a reduced tracheal lumen size due to preoperative radiation therapy. A short-acting induction agent and muscle relaxant is indicated in the event of difficult intubation and a smaller than expected endotracheal tube may be necessary should the tracheal lumen be reduced. A reversible muscle relaxant is suggested in order ...

Total laryngectomy.

Total laryngectomy since it was first performed more than a century ago has undergone numerous modifications with increasing attention to voice restoration. Function preservation has also been achieved by voice sparing surgical procedures, and organ preservation strategies with chemoradiotherapy for laryngeal carcinoma. However, total laryngectomy remains the standard of care for very advanced ...

Total laryngectomy.

Total laryngectomy.