Supraglottic Laryngectomy
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2025-03-03
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
Supraglottic laryngectomy was first introduced to the United States of America over 50 years ago. It effectively controls limited cancer involving the supraglottic portion of the larynx. The overwhelming majority of patients undergoing supraglottic laryngectomy can swallow by mouth 10-14 days after surgery. However, the risk of aspiration pneumonia is significant in patients with inadequate cough and poor pulmonary reserve. It is therefore not appropriate for patients with cardiopulmonary compromise which is so significant that they cannot temporarily tolerate moderate amounts of aspiration. This group of patients should not be offered this procedure.
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Reference:
Johnson, J. 2025. Supraglottic Laryngectomy. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 6. http://hdl.handle.net/11427/43483 .