COMPLICATIONS OF TOTAL LARYNGECTOMY OPERATION IN ALEXANDRIA MAIN UNIVERSITY HOSPITAL

Document Type : Preliminary preprint short reports of original research

Authors

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.

Keywords

ALEXMED ePosters
Volume 7, Issue 1
January 2025
Pages 15-16

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