This is surgery to remove the larynx, more commonly known as the voice box. In some cases, a partial laryngectomy may be possible.
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Laryngectomy is usually done to treat cancer of the larynx. This surgery may also be done to treat severe damage of the larynx due to
Problems from the procedure are common. Your doctor will review potential problems, like: InfectionBreathing difficultiesExcessive swelling or bleedingOpening of the incision or poor wound healing Injury to the trachea, also known as the windpipe, or esophagusBlood clotsAnesthesia-related problemsSaliva leaking out to the skinInability to speak or aphoniaCancer occurs again
Some factors that may increase the risk of complications include: Pre-existing medical conditionIncreased ageObesitySmokingPrevious surgical procedure to the larynx
Be sure to discuss these risks with your doctor before the surgery.
Your doctor may do the following: Physical examLaryngoscopy—the use of a long, thin, lighted tube to examine the larynx
Radiation or chemotherapy—to treat cancer
Leading up to your surgery:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
Also talk to your doctor about ways to restore speech, such as:
Tracheoesophageal punctureHand-held speech aidsEat a light meal the night before the surgery. Do not eat or drink anything after midnight.
A cut will be made in the skin on your neck. The muscles that are attached to the larynx will be divided. The larynx and surrounding tissue will then be removed. Sometimes, a partial laryngectomy will be done. In this case, the doctor will remove the tumor and only part of the larynx. If you have this type of surgery, you may retain some normal speech and more of your normal swallowing function.
An opening called a stoma will be created through the skin in the neck. Next, the trachea will be connected to the opening. This will enable you to breathe through the hole. In some cases, a tracheostomy tube will be inserted. This tube, which fits into the stoma, will act as an airway, helping you to breathe. Drainage tubes will be inserted to drain blood and fluid. Lastly, the muscles and skin will be brought together and closed with stitches or clips.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
This surgery is done in a hospital. The usual length of stay is 7-14 days. Your doctor may choose to keep you longer if complications arise.
While you are recovering at the hospital, you will: Have an oxygen mask over the stoma.Be given nutrition through an IV or a feeding tube. A speech pathologist or doctor will assess your ability to swallow. Depending on the results, you will progress to soft foods.You may need to wear boots or special socks to help prevent blood clot formation in your legsLearn how to:
Use a call bell and message board to communicate.Keep the head of your bed raised.Move your legs while in bed to increase circulation.
Learn to care for your stoma and tracheostomy tube, which includes:
Using a mist hood over the stomaKeeping water out of the stomaCovering the stoma with a shower hood when showeringSuctioning secretionsHave the drains removed in about 5 days. The stitches will be removed in about one week.
When you return home, do the following to help ensure a smooth recovery: Avoid lifting heavy objects and doing strenuous activity for up to 6 weeks.
Participate in a speech rehabilitation program. You will need to learn how to speak again. The program may involve speaking by:
Swallowing air and expelling it—esophageal speechUsing an electronic device—artificial larynxInstalling a valve in the stoma to allow air from the lungs to reach the esophagus—tracheoesophageal speech
The throat tissue will heal in about 2-3 weeks. Complete recovery will take at least a month. You may notice a reduction in your sense of taste and smell. You will continue to use the stoma for breathing.
Most people are able to return to their jobs and past activities, except for swimming.
You may be referred to a
to help you to cope with the surgery.
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor: Signs of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or any discharge from the incision sitePersistent nausea and/or vomitingPain that you cannot control with the medications you've been givenCough, shortness of breath, or chest painDifficulty swallowingDifficulty eatingHeadache, muscle aches, or lightheadednessTracheostoma is getting smallerSaliva is leaking through your incisionNew, unexplained symptoms
If you think you have an emergency, call for medical help right away.
Hanasono MM, Lin D,
Wax MK, Rosenthal EL. Closure of laryngectomy defects in the age of chemoradiation therapy.
Head Neck. 2012;34(4):580-588.
Laryngeal and hypopharyngeal cancers. American Cancer Society website. Available at:
Accessed May 9, 2016.
Laryngectomy. UC Davis Health System website. Available at:
http://www.ucdmc.ucdavis.edu/otolaryngology/Health%20Information/LARYNGECTOMY.pdf. Accessed May 9, 2016.
Last reviewed June 2016 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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