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 ...

introduction: pharyngocutaneous fistula (pcf) is the most common complication after total laryngectomy. its incidence is extremely variable, with values ranging from 3% and 65%. the management of this problem considerably increases the length and the cost of hospitalization.  the aim of this study is to analyze the incidence, predisposing factors, and outcome of pcf in patients undergoing total...

The article presents the results of tests of a portable post-laryngectomy voice replacement system that allows a silently articulating speaker to select and play back short phrases contained in a 60-phrase phrasebook. Such a system could be a useful communication tool for post-laryngectomy patients unable to use tracheo-oesophageal speech. Experiments on two non-pathological speakers and one pe...

Long-term olfactory dysfunction following coronavirus disease 2019 infection, routine neck dissection at salvage laryngectomy, parotid incidentalomas, and prescribing intranasal steroids in HIV infection - Volume 135 Issue 9

OBJECTIVE A positive Delphian node is known to predict a poor prognosis in laryngeal cancer. To elucidate the clinical significance of positive Delphian node metastasis in supracricoid laryngectomized patients, we conducted a thorough clinical review. METHODS We reviewed clinical data from 65 patients who underwent supracricoid laryngectomy with cricohyoidoepiglottopexy; in these patients, th...

A 58-year-old man complaining of a bloating sensation of the jaw was referred to our division. Physical examination revealed a huge tumor in the lower jaw protruding to the neck, and subsequent skin ulceration. Magnetic resonance imaging demonstrated a tumor occupying the floor of the mouth, 96 92 95 mm in size, which extended from the left mandibular joint to the left side of the hyoid bone an...

Patients with advanced laryngeal cancer usually mist undergo total laryngectomy, which causes communication difficulties. Several voice-producing devices have been developed to assist such patients in restoring their ability speak. However, these produce monotonous sounds and require hand-held operation. A novel electronic system was thus proposed laryngectomy improving speech performance. By i...