Laryngeal cancer is an ENT disease that has a huge impact on people's eating and absorption. Treating the disease with the right medicine is the basis for doctors to treat various diseases. So what are the treatments for laryngeal cancer? Only when we understand them can we effectively treat laryngeal cancer and prevent it from developing. Although laryngeal cancer is a malignant tumor, it should be actively treated like many other diseases. If we want to achieve the best results for the disease, then it is most important to find a treatment method that suits us. I am sure everyone wants to know what treatments there are for laryngeal cancer? Patients and their families want to know more, so let's take a look at what methods can be used to treat laryngeal cancer. A comprehensive understanding can help patients learn more about pathology. 1. Surgery It is the main means of treating laryngeal cancer. The principle of surgery is to first completely remove the tumor, and secondly to preserve or reconstruct the vocal and respiratory functions of the larynx as much as possible. (1) Partial laryngectomy is suitable for early, middle and some late-stage laryngeal cancer. There are many surgical methods, and the following may be adopted depending on the location and extent of the cancer: ① Laryngeal microscopic carbon dioxide laser surgery under supported laryngoscope; ② Laryngeal split vocal cord resection; ③ Vertical partial laryngectomy; ④ Prefrontal partial laryngectomy; ⑤ Horizontal supraglottic partial laryngectomy, also known as horizontal hemilaryngectomy; ⑥ Horizontal vertical partial laryngectomy, also known as 3/4 laryngectomy; ⑦ Subtotal laryngectomy or near-total laryngectomy; ⑧ Supracricoid partial laryngectomy. (2) Total laryngectomy is suitable for some mid-to-late stage laryngeal cancers, primary subglottic laryngeal cancers, recurrent laryngeal cancers, and hypopharyngeal cancers where preservation of the laryngeal structure is not clinically appropriate. (3) Methods for laryngeal function reconstruction after total laryngectomy include: tracheopharyngeal anastomosis, tracheoesophageal fistula, artificial larynx/electronic larynx, and esophageal pronunciation. Currently, only partial laryngeal function can be restored. (4) Neck dissection is used to treat the cervical lymph nodes. Depending on the primary site of the cancer and the presence of cervical lymph node metastasis, radical neck dissection, modified neck dissection, or sectional neck dissection can be performed. 2. Radiation therapy There are many radiation sources, including conventional radiotherapy, three-dimensional conformal radiotherapy, intensity modulated radiotherapy, etc. The total dose of radical radiotherapy is 60-70Gy. Applicable to: (1) Vocal cord cancer, unilateral and normal vocal cord activity; (2) supraglottic cancer with lesions smaller than 1 cm; (3) Those who are in poor general condition and not suitable for surgery; (4) If the lesion is extensive and has reached the pharynx, preoperative radiotherapy can be performed with a dose of 45 to 50 Gy within 4 weeks, and surgical treatment can be performed within 2 to 4 weeks after the completion of radiotherapy. (5) Postoperative radiotherapy: usually performed after the surgical incision has healed, and the dose of radiotherapy depends on the specific situation. 3. Other treatments Chemotherapy is combined with surgery and radiation therapy in a variety of ways, all of which can be used for squamous cell carcinoma. The above are the methods for treating laryngeal cancer. Any disease has its own set of treatments. No matter what method it is, as long as the patient actively cooperates and maintains a good mental state, there is no disease that cannot be cured. Relatives should also give encouragement to help patients regain their determination to recover their health. |
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