Thabet, M., Donia, M., Naiem, R. (2025). COMPLICATIONS OF TOTAL LARYNGECTOMY OPERATION IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL. ALEXMED ePosters, 7(1), 15-16. doi: 10.21608/alexpo.2025.350297.2055
Mohamed Hossam El-deen Mustafa Hassan Thabet; Mostafa Magdy El-saied Donia; Rabab Mohamed Ahmed Naiem. "COMPLICATIONS OF TOTAL LARYNGECTOMY OPERATION IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL". ALEXMED ePosters, 7, 1, 2025, 15-16. doi: 10.21608/alexpo.2025.350297.2055
Thabet, M., Donia, M., Naiem, R. (2025). 'COMPLICATIONS OF TOTAL LARYNGECTOMY OPERATION IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL', ALEXMED ePosters, 7(1), pp. 15-16. doi: 10.21608/alexpo.2025.350297.2055
Thabet, M., Donia, M., Naiem, R. COMPLICATIONS OF TOTAL LARYNGECTOMY OPERATION IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL. ALEXMED ePosters, 2025; 7(1): 15-16. doi: 10.21608/alexpo.2025.350297.2055
COMPLICATIONS OF TOTAL LARYNGECTOMY OPERATION IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL
Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University
Abstract
A. Laryngeal Anatomy 1) Cartilages: unpaired (thyroid, cricoid and epiglottis), paired (arytenoid, corniculate and cuneiform) 2) Joints: Cricoarytenoid & Cricothyroid. 3) Ligaments and membranes i. Extrinsic and intrinsic ligaments ii. Vocal and Vestibular folds 4) Musculature: Intrinsic and Extrinsic Laryngeal muscles 5) Innervation: Superior laryngeal nerve, Recurrent laryngeal nerve, AnsaGaleni. B. Laryngeal Carcinoma Second most common head and neck cancer Surgical management: Conservative, Total laryngectomy, Extended totallaryngectomy C. Total laryngectomy Indications: i. T3, T4 carcinomas. ii. Cartilage invasion or extra laryngeal spread. iii. Involvement of Posterior commissure, arytenoids, or cricoarytenoid joint. iv. Completion laryngectomy after failure of conservative surgery. v. Recurrence after radiotherapy or chemoradiation. vi. Complications or Contraindication to conservative therapy. vii. Hypopharyngeal tumors viii. Thyroid tumors invading the larynx. Complications: i. Intraoperative: Bleeding, Injury of thoracic duct, Nerve or vessels injury, Pneumothorax, Air embolism. ii. Postoperative a) Early: 1) Pharyngo-cutaneous fistula. 2) Chyle leak. 3) Bleeding, hematoma. 4) Wound complications. 5) Flap congestion & necrosis 6) Respiratory complications. 7) Carotid blow out. b) Late: 1) Recurrence. 2) Stomal complications 3) Dysphagia. 4) Complications of voice prothesis. 5) Hypocalcemia and hypothyroidism.
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