Vocal Rehabilitation Following Laryngectomy
There have been several advances made in surgical techniques for conservation laryngectomy primarily for early lesions of the larynx providing excellent cure and functional results. Similarly, considerable advances have been made in chemoradiation for organ preservation in select advanced tumours. However, total laryngectomy still remains the gold standard for most advanced carcinoma of the larynx and hypopharynx and following salvage surgery in radiation failed cases. It is well realized that this surgical procedure results in permanent tracheo-stoma and loss of normal voice. Besides, there is loss of nasal function and changes in lung function, apart from increased cough and mucous formation. The swallowing ability is affected as well. These factors directly impact the QOL of these patients .
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