Home » Diseases and Disorders, Neoplasms » Treatment And ComplicationFor Laryngeal CancerTreatment And Complication For Laryngeal CancerPosted by Lifenurses on February 1, 20110Treatment Management For Laryngeal Cancer Depends on sites and stagesof cancer. Early malignancy may be removed endoscopically. Early lesionsmay respond to laser surgery or radiation therapy; advanced lesions to lasersurgery, radiation therapy, and chemotherapy. Treatment aims to eliminatecancer and preserve speech. If speech preservation isn’t possible, speechrehabilitation may include esophageal speech or prosthetic devices. Othersurgical procedures vary with tumor size and include cordectomy, partial ortotal laryngectomy, Supraglottic laryngectomy, and total laryngectomy withlaryngoplasty.Treatment Management For Laryngeal CancerRadiation therapy: Singly or in combination with surgery.
Complications of radiation including airway obstruction, edema of larynx, soft tissue and cartilage necrosis, chondritis, pain, and loss of taste (xerostomia).Surgery therapy: Carbon dioxide laser for early-stage disease. Partial laryngectomy removal of small lesion on true cord, along with a substantial margin of healthy tissue. Supraglottic laryngectomy removal of hyoid bone, epiglottis, and false vocal cords, tracheostomy may be done to maintain adequate airway, radical neck dissection may be done. Hemilaryngectomy removal of one true vocal cord, false cord, one half of thyroid cartilage, arytenoid cartilage. Total laryngectomy removal of entire larynx (epiglottis, false or true cords, cricoid cartilage, hyoid bone; two or three tracheal rings are usually removed when there is extrinsic cancer of the larynx [extension beyond the vocal cords]). A radical neck dissection may also be done because of metastasis to cervical lymph nodes. Total laryngectomy with laryngoplasty voice rehabilitation may be attempted through the Asai operation: A dermal tube is made from the upper end of the trachea into the hypo pharynx. The tracheostomy opening is closed off with a finger. The patient expires air up the dermal
tube into the pharyngeal cavity. The sound produced is transformed into almost normal speech.Complications of Surgery therapy Salivary fistula may develop after any surgical procedure that involves entering the pharynx or esophagus. (Monitor for saliva collecting beneath the skin flaps or leaking through suture line or drain site. Management NG tube feeding, meticulous local wound care with frequent dressing changes, promotion of drainage) Hemorrhage (carotid artery rupture) or hematoma formation. A major postoperative complication (e.g. skin necrosis or salivary fistula) usually precedes carotid artery rupture. Management immediate wound exploration in operating room. Stomas stenosis. Aspiration. Long-term complications: Chest infections (from repeated aspiration), Recurrence of cancer in stomaRelated posts: 1. Laryngeal Cancer 2. Patient Teaching Discharge and Home Healthcare Guidelines for Patient with Laryngeal Cancer
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