Cancer of larynx

1. CancerofLarynx
Irfan malik

2. Definition • Thecancer of laryngeal
cells.

3. Classification
• Glottic tumour: tumour in theglottis.
• Sub-glottic tumour: tumour in thesub-
glottic area.
• Supra-glottic tumour: Tumour in the
supra- glottic area.

4. Etiology
• Cigarettesmoking
• Alcoholism
• Occupational risk factors :
asbestos,wound dust,
mustard gas& petroleum
products.
• Inhalation of noxiousfumes
• Chronic laryngitis and voice
abuse

5. ClinicalManifestations • Glottictumour
• Voicechanges
• Hoarsness
• Hemoptysis
• Dyspnoea
• Respiratory
obstruction
• Dysphagia
• Weightloss
• Pain
• Supraglottictumor
• Aspiration on
swallowing
• Persistentunilateral
sore throat
• Foreignbody
• Dysphagia
• Weightloss
• Massin neck
• Hemoptysis

6. Supraglottic tumour
• Dyspnoea
• Airway obstruction
• Dysphagia
• Weight loss
• Hemoptysis

7. Diagnosticfinding
• Physicalexamination:
swollen lymph nodesin
the neck
• Indirect laryngoscopy
• Direct laryngoscopy
• Panendoscopy
• CTand MRIscan
• Biopsy

8. Medicalmanagement
• Radiation therapy is
given 5 daysaweek
for 5- 8 weeks.

9. SurgicalManagement
Laser surgery : for
vocal cord tumours.
Partial laryngectomy
/ Vertical partial
laryngectomy:
Removal of half or
more of the larynx
Supraglottic
laryngectomy: for Ca of
supraglottis
Supra-cricoid partial
laryngectomy: for
confined transglottic
Ca.

10. • Totallaryngectomy: For
glottic tumours
• Cervicallymph node
dissection /Neck
dissection:
• Radical neck
dissection / EnBloc
• Modified radical
neckdissection

11. Complicationsofsurgery
Haemorrhage
Airway
obstruction
Carotid artery
rupture
Fistula
formation

12. NursingManagement
Partial
laryngectomy
Assess ABG
values, pulse
oximetry & FiO2
levels
Semi fowlers to
High fowlers
position
Monitor oxygen
therapy
Tracheostomy
care and
suctioning
Chest
physiotherapy
Nebulization

13. Totallaryngectomy
Nutrition
• Tube feeding
• Start oral feeding
with fluids & semi-
soft foods
Communication
• Give pen and paper
• Communication
board
• Keep speaking with
the client; do not
avoid conversation
because it will build
up frustration
Artificial larynx
• Can be used after
3-4 days of surgery

14. Thank you