History and evolution of the laryngectomy

Total laryngectomy remains the gold standard for advanced laryngeal cancer to which all other treatments must be compared, benefiting from over 150 years of technical advancements since first performed by Theodor Billroth in 1873. The treatment paradigm has evolved with advances in both nonsurgical...

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Bibliographic Details
Published in:Operative techniques in otolaryngology--head and neck surgery 2024-06, Vol.35 (2), p.124-132
Main Authors: Hellums, Ryan N., Hanks, John E., Kovatch, Kevin J.
Format: Article
Language:English
Subjects:
Laryngeal preservation
Partial laryngectomy
Total laryngectomy
Vocal rehabilitation
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Summary:Total laryngectomy remains the gold standard for advanced laryngeal cancer to which all other treatments must be compared, benefiting from over 150 years of technical advancements since first performed by Theodor Billroth in 1873. The treatment paradigm has evolved with advances in both nonsurgical and surgical laryngeal preservation. The tenets of treatment, weighing oncologic outcome with functional and quality of life outcomes, have remained the same. This article reviews the history of laryngectomy, progression of surgical techniques, concurrent advancements in vocal rehabilitation, and role of complete and partial laryngectomy procedures in the current era.
ISSN:1043-1810
DOI:10.1016/j.otot.2024.04.002