Medicine Atlas

How Healing Is Practiced
Sign In
Text size
100%
Theme
Treatment

Laryngectomy

Surgical Procedure

Laryngectomy is the removal of the larynx, either entirely, separating the airway from the mouth, nose and esophagus, or partially, removing only a portion of the organ. Following the procedure the person breathes through an opening in the neck called a stoma, and it is usually performed by an ear, nose and throat surgeon for laryngeal or other head and neck cancers when more conservative treatments have failed or the cancer has progressed too far to preserve the larynx.

Facts
Partially Attested
Origin Year
1873 2
Year is for the first total laryngectomy, by Theodor Billroth; a partial laryngectomy was done earlier in 1873 and an older claim of 1866 was a post-mortem excision.
Classification
Status
Standard of Care 1
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundationhttps://en.wikipedia.org/wiki/Laryngectomy, lead section
Quote, https://en.wikipedia.org/wiki/Laryngectomy, lead section
Laryngectomy is the removal of the larynx.
View the Source
2. Wikipedia: Laryngectomy
History
Quote, History
The first total laryngectomy was performed in 1873 by Theodor Billroth.
View the Source
Frequently Asked Questions

What is a laryngectomy?

Removal of all or part of the larynx, usually for laryngeal cancer, leaving the person breathing through a neck stoma.

Laryngectomy is the removal of the larynx. In a total laryngectomy the entire larynx is removed, with the separation of the airway from the mouth, nose and esophagus, while a partial laryngectomy removes only a portion. Afterward the person breathes through an opening in the neck known as a stoma. It is usually performed by an ENT surgeon in cases of laryngeal cancer, when more conservative treatments fail to conserve the larynx or the cancer has progressed such that normal functioning would be prevented.

How can people speak after a total laryngectomy?

Through a voice prosthesis, an electrolarynx, esophageal speech, or rarely a larynx transplant.

Total laryngectomy removes the larynx, which is essential for natural sound production, so voice rehabilitation is an important part of recovery. The available methods are tracheoesophageal speech using a voice prosthesis placed in a surgically created puncture, speech using an electrolarynx held against the neck, esophageal speech in which the speaker pushes air into the esophagus and back up, and, very rarely, a larynx transplant from a cadaver donor. The method is selected based on each individual's abilities, needs and lifestyle.
Comments (0)
No comments yet. Be the first to share a thought.
Reader Challenges (0)
No disputes yet. Spotted an error or a better source? Open the first one.

View At A Past Year

Choose a year to see this entry's facts and connections as the atlas records them at that moment: what it held then, what it held instead, and what it had not yet adopted. Choose Present for the current record.