What is supraglottic laryngectomy?
Listen to pronunciation. (SOO-pruh-GLAH-tik LAYR-in-JEK-toh-mee) An operation to remove the supraglottis, which is part of the larynx (voice box) above the vocal cords.
What is removed in a supraglottic laryngectomy?
Your voice box (larynx) has two bands of muscle that form the vocal cords. The front of the voice box is made of cartilage and is sometimes called the Adam’s apple. During a supraglottic laryngectomy (sooprah-GLOT-tik lair-un-JECT-uh-me), a surgeon removes the top part of your voice box (larynx), near your vocal cords.
Can you speak after a supraglottic laryngectomy?
In a supraglottic laryngectomy, only the part of your larynx above the vocal cords is removed. This procedure can be used to treat some supraglottic cancers, and will allow you to speak normally afterward.
How do you perform a laryngectomy?
Total laryngectomy The surgeon makes a cut in your neck and removes the whole larynx. This means there is no longer a connection between your mouth, nose and lungs. After the operation you will breathe and speak in a different way. You breathe through a hole (opening) in your neck, called a stoma.
How does a total laryngectomy differ from a Hemilaryngectomy or a supraglottic laryngectomy?
Supraglottic laryngectomy removes some of the larynx located above the vocal cords. You may still maintain your normal speaking voice after a supraglottic laryngectomy. Hemilaryngectomy is a treatment for small cancers of the vocal cords. It involves the removal of one vocal cord while maintaining the others.
What is a Supracricoid laryngectomy?
The partial horizontal supracricoid laryngectomy with cricohyoidopexy consists of resection of the whole thyroid cartilage and paraglottic space, as well as the epiglottis and the whole pre-epiglottic space. The cricoid cartilage, the hyoid bone, and at least one arytenoid cartilage are spared.
What are the different types of laryngectomy?
Types of laryngectomy
- Partial laryngectomy removes part of the larynx and is used for smaller tumors.
- Supraglottic laryngectomy removes some of the larynx located above the vocal cords.
- Hemilaryngectomy is a treatment for small cancers of the vocal cords.
- Total laryngectomy takes out the larynx completely.
How do you intubate a laryngectomy?
In a patient with a post-laryngectomy stoma, there is no connection to the airway from the oral or nasal cavity to the trachea. Bag mask, oral, and nasal intubation should never be attempted. Instead, a cuffed endotracheal tube (ETT) should be directly inserted into the stoma.
Which of the following is the goal of a supraglottic laryngectomy to preserve?
The supracricoid partial laryngectomy with cricohyoidoepiglottopexy is an organ preservation surgical technique in which both true vocal folds, both false vocal folds, both paraglottic spaces, and the entire thyroid cartilage are resected. The functional goal is speech and swallowing without a permanent tracheostomy.
What is a supraglottic laryngectomy?
The front of the voice box is made of cartilage and is sometimes called the Adam’s apple. During a supraglottic laryngectomy (sooprah-GLOT-tik lair-un-JECT-uh-me), a surgeon removes the top part of your voice box (larynx), near your vocal cords. Your doctor may ask you to have tests done before surgery.
What are the treatment options for acute supraglottis cancer?
Cancer extending inferiorly from the supraglottis to involve the glottic larynx may be successfully resected with preservation of laryngeal function employing supracricoid laryngectomy (see Supracricoid laryngectomy protocol). Debate continues regarding which cases are best treated with surgery and which with irradiation.
How can a speech therapist help me with supraglottic swallowing?
A speech therapist will work with you to help you learn the supraglottic swallowing technique. A barium swallow also may be done to study your swallowing. You will be started on a pureed diet after the trach is removed, and when the doctor and speech therapist feel you are ready.
What is transglottic extension of the tongue?
Transglottic extension to involve the true vocal cord or periglottic space (see Supracricoid laryngectomy protocol) Extensive involvement of the base of tongue past the circumvallate papillae or sufficient involvement to require bilateral resection of the hypoglossal nerves or lingual arteries (see Total Laryngectomy protocol)