Surgery for Laryngeal & Hypopharyngeal Cancer

Minimally Invasive Approach

At Scott & White, some of our operations for head and neck cancer are performed with minimally invasive techniques. Benefits of minimally invasive surgery include:

  • Better cosmetic result
  • Quicker recovery times, allowing you to:
    • Return to your daily routine sooner
    • Begin future treatment sooner
  • Shorter hospital stay
  • Less pain
  • Less blood loss
  • Lower risk of infection
  • Fewer complications

Not all patients are candidates for a minimally invasive approach. Factors affecting the decision to use minimally invasive techniques include:

  • Tumor size, stage or location
  • Patient obesity and health
  • Prior surgeries

Your Scott & White Integrated Care Team may recommend the surgical removal of all or part of your larynx or hypopharynx. Your physician will discuss which option for surgery is best for you. As with all operations, there are some risks. Your surgeon will discuss those risks with you.

Your Integrated Care Team may recommend other treatments in addition to surgery.

Surgical Procedures Offered for Laryngeal & Hypopharyngeal Cancer

Laryngectomy

In this surgical procedure for laryngeal cancer, your surgeon will remove your tumor and entire voice box (larynx) in a total laryngectomy. Your physician will reattach your windpipe to your skin; he or she will make a hole (stoma) through which you’ll breathe.

In a partial laryngectomy, your physician will remove your tumor and only part of your voice box, allowing some speech capability to remain.

In some cases, your surgeon may remove only your vocal cord in a cordectomy. The surgical procedure to remove only one side of your larynx is called a vertical hemilaryngectomy.

Your physician team, however, may recommend radiation and/or chemotherapy as first options before the surgical removal of your larynx.

Scott & White offers a highly successful Voice Rehabilitation Program. Find out more about:

Pharyngectomy

In this surgical procedure, your surgeon will remove your tumor and your entire pharynx in a total pharyngectomy. You will need reconstructive surgery in order to swallow normally.

In a partial pharyngectomy, your surgeon will remove your tumor and part of your pharynx.

Your physician team, however, may recommend radiation and/or chemotherapy as first options before the surgical removal of your pharynx.

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Special Procedures

Neck Dissection

Cancers of the head and neck in many cases spread to the lymph nodes in the neck. Your physician may recommend a neck dissection. In this surgical procedure, your surgeon will remove abnormal lymph nodes and the fatty tissue that surrounds them.

Tube Feeding and Gastrostomy

In some cases, the treatment for your head and neck cancer may affect your ability to eat normally. Your physician may suggest tube feedings.

Your tube feeding may be brief — six weeks or less. In this approach, a narrow, flexible tube will be inserted through your nose and into your stomach to provide sustenance.

If your need for nourishment is more chronic or longstanding, your physician may recommend a gastrostomy. In this procedure, your surgeon will make a small incision in your abdominal wall and insert a tube into your stomach to provide sustenance. This may be a permanent situation.

Tube feeding and gastrostomy may be necessary so that:

  • You do not fall behind in your nutrition.
  • You receive the necessary calories and vitamins you need to heal following surgery or during your chemotherapy or radiation treatments.

Tracheostomy

In some cases, your physician may recommend a tracheostomy so that you can breathe more easily:

  • If you’ve had an operation that results in some deformity of the jaws, palate or oral cavity.
  • If you’ve had reconstruction that results in so much swelling that your airway is blocked.

A tracheostomy is a surgical procedure to create an opening through the neck into your windpipe (trachea). Your surgeon will place a thin, flexible tube through the opening to provide an airway and to remove secretions from your lungs. This tube is called a tracheostomy tube or a trach tube.

In most cases, your trach tube is temporary and will be removed when your swelling goes down and you show signs of improvement.

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