Preparing for Laryngectomy Surgery скачать в хорошем качестве

Preparing for Laryngectomy Surgery

Preparing for total laryngectomy surgery. What are the risks to having the surgery? https://Laryngectomy.info/ #laryngectomy #totallaryngectomy #cancer #laryngeal #larynx #voice FULL TRANSCRIPT What are the risks for the surgery? Well there is, generally speaking the risks for surgery, there are always in every surgical procedure, of course there are general risks like bleeding infection thrombosis and everything that's around surgery, so specifically if you talk about total larygectomy one should always be aware of the process of the probability of developing a post-operative fistula because i want to have to consider if when the larynx has been removed then we have to close the pharynx again so there is always a chance there will be a small leak and the larynx is not closed tightly, however the good thing is most of these fistulas they heal by themselves so if it's a primary surgery without prior radiochemical therapy then usually one just has to wait a few more days with the conservative treatment and then this complication can be dealt with very very easily and very effectively without any additional surgical procedures. The case is a bit more complicated if we have a salvage surgery then the rates of fistula significantly increase because the the tissue that we operate is not as healthy as without the radiation therapy and then the local factors for healing are impaired so one can inspect, the healing takes longer and that the fistula will be much more frequent but again even in this cases there are very effective ways of treating fistulas and even with additional surgical procedures that may be necessary and usually an experienced surgical team will be able to to deal with all these complications and if it takes longer maybe some additional surgery but the fistula can be treated very very effectively one other thing about the risk of surgery of the total larygectomy i would like to mention is the implantation of a voice prosthesis of course after we remove the larynx we want to rehabilitate the swallowing and then of course the voice, the most effective rehabilitation method is of implanting a voice prosthesis that creates a fistula between the trachea and the esophagus and this works very nicely again in the vast majority of patients but still it's an unnatural fistula with a foreign body in there and there are cases where this fistula may enlarge over time again especially in tissues that where the local factors are maybe not be as good so this again is a complication that an experienced team will know and also for this complication there are effective ways of treating it but one should always be aware of of this special feature while implanting a prosthesis.