In general, radical surgery has been used more successfully for advanced cancer than irradiation therapy. When total laryngectomy is performed the anatomic area of larynx, pharynx and upper cervical esophagus becomes converted into a passageway for food and voice production by the newly created pharyngoesophagus. However, permanent tracheostomy for the patient leaves much to be desired, and the mucous secretions are unpleasant as are bleeding and crusting. The social stigma that the patient may feel and the poor quality or even lack of voice in some instances are all familiar complaints.Aggressive surgical approaches for malignancies in this area have been found in many instances to leave little room for a more conservative approach to the problem. There are some who believe that conservation of function of the larynx after surgical eradication of selected supraglottic and laryngopharyngeal lesions is not possible. Varied surgical methods of treatment are necessary only
OGURA JH. Cancer of Larynx, Pharynx, and Upper Cervical Esophagus: Five-Year Results of Laryngectomy and Radical Neck Dissection for Laryngeal Cancer. AMA Arch Otolaryngol. 1960;72(1):66–72. doi:10.1001/archotol.1960.00740010070012
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