What are the surgical methods for laryngeal cancer

There are many surgical treatments for laryngeal cancer, but they are all designed around long-term efficacy and functional recovery. With the continuous improvement of medical technology, the current principle is to appropriately consider functional recovery and reconstruction based on the primary site of the cancer, clinical features, and pathological type while ensuring that the lesion is completely and cleanly removed, because this is more beneficial to the patient's prognosis. Surgical treatments for laryngeal cancer include:

1. Hemilaryngectomy and partial laryngectomy

Depending on the location of the lesion, hemilaryngectomy includes anterolateral hemilaryngectomy, supraglottic horizontal hemilaryngectomy, anterolateral hemilaryngectomy and 3/4 laryngectomy. It is mainly suitable for patients whose vocal cord cancer has spread to the vocal process, one side of the vocal cord has exceeded the anterior commissure, the vocal cord cancer has developed to the subglottis, or one side of the vocal cord cancer has not disappeared after radiotherapy.

Supraglottic horizontal hemilaryngectomy is suitable for patients with epiglottic cancer, laryngeal vestibule and ventricular zone cancer, epiglottic lingual surface and tongue root cancer, or epiglottic cancer that has not completely disappeared after radiotherapy.

2. Total laryngectomy

Total laryngectomy was first performed in 1873, and the first total laryngectomy for laryngeal cancer was successful. Since then, total laryngectomy has been considered a radical surgical procedure for laryngeal cancer and has always dominated clinical practice. Especially after the advent of antibiotics, the mortality rate of surgery has been greatly reduced, making its clinical application more extensive. Although hemi-laryngectomy and partial laryngectomy have been widely performed, total laryngectomy is still the main surgical method for laryngeal cancer treatment.

3. Treatment of cervical lymph nodes

The ultimate main cause of death in laryngeal cancer patients is cervical lymph node metastasis or lung metastasis. Therefore, whether laryngeal cancer patients should undergo routine cervical lymph node dissection (neck dissection for short) is a practical problem faced in clinical practice. However, so far, there are still different opinions on how to choose the indications and when to perform neck dissection. Now, a comprehensive discussion of various different opinions is discussed as follows.

The above content is an introduction to the surgical methods for laryngeal cancer, and we hope it will be helpful to you. In addition, we remind you that cancer is scary, but if you deal with it in a good state, the symptoms will not worsen too quickly. We hope that you will face it optimistically and not put pressure on yourself and your family.