Complications after laryngeal cancer resection

There are many modern people, especially smokers, and smoking can also create opportunities for laryngeal cancer to occur. Don't think that laryngeal cancer is a disease far away from us. In fact, laryngeal cancer is around us. Many laryngeal cancer patients feel very uncomfortable after being troubled by the disease, so timely treatment of laryngeal cancer is something that cannot be ignored. What laryngeal cancer patients need to understand is that there are many complications after laryngeal cancer surgery, and good nursing work is needed.

What are the complications after laryngeal cancer surgery? I hope that patients will not ignore the following complications and take good care of themselves in life:

1. Local infection in the surgical area: Because it is a contaminated operation, wound infection is still difficult to avoid completely. Pay attention to protecting the wound surface and preventing contamination. After closing the pharyngeal mucosa, the surgical cavity should be fully rinsed. If necessary, antibiotic solution should be injected. When suturing the muscle layer and skin, no dead space should be left. Drainage strips can be placed. Strengthen anti-infection measures after surgery, supplement nutrition, and promote early healing of the wound. If a deep neck abscess has formed, perform incision and drainage according to the principle of surgical incision and drainage. If the mediastinal abscess is confined to the upper mediastinum, an incision can be made along the inner side of the sternocleidomastoid muscle for drainage. If it is in a lower position, X-ray positioning must be used, part of the corresponding ribs must be removed, the pleura is pushed open, and the posterior mediastinum is drained.

2. Bleeding: mainly due to incomplete hemostasis of the wound and loose ligation of blood vessels. A small amount of bleeding generally does not need to be treated. If the amount of bleeding is large, the wound needs to be reopened to find the bleeding point and ligate it. Especially bleeding from the superior laryngeal artery and thyroid isthmus must not be neglected, otherwise it will cause heavy bleeding and neck hematoma, which will compress the trachea, cause breathing difficulties, and even serious consequences such as body weight.

When these complications occur, patients must receive timely treatment. Surgery is the main effective means of treating laryngeal cancer, and it has unparalleled advantages over other treatment methods. The surgical methods for laryngeal cancer are mainly divided into total laryngectomy and partial laryngectomy. Due to the understanding of laryngeal embryology, anatomy, pathology, biological behavior of laryngeal cancer, and the continuous improvement and maturity of laryngeal function repair technology in recent years, partial laryngectomy has developed rapidly and has become the dominant surgical treatment method for laryngeal cancer. Compared with total laryngeal surgery, the indications have gradually narrowed, but for advanced cancer, recurrence after partial laryngectomy, recurrence after radiotherapy, elderly and weak patients, and patients with poor economic conditions, total laryngectomy is still a reliable treatment method.

In addition to paying attention to the occurrence of some complications after laryngeal cancer surgery, patients should also pay attention to relevant dietary and psychological care. For laryngeal cancer patients, they may have psychological barriers due to the effectiveness of surgical treatment. Therefore, at this time, the care and concern of family members is a very necessary thing for the patients. Active care for laryngeal cancer can promote the patient's recovery. I hope that family members can realize this.