A chronic smoker with history of hoarseness of voice found to have fixation of vocal cords on examination. The most likely treatment he will require is
Correct Answer: Subtotal laryngectomy
Description: Fixation of vocal cords on examination is T3 lesion.Total laryngectomy. The entire larynx including the hyoid bone, pre-epiglottic space, strap muscles and one or more rings of trachea are removed. Pharyngeal wallis repaired and lower tracheal stump sutured to the skin for breathing. Laryngectomy may be combined with block dissection for nodal metastasis.Total laryngectomy is indicated in the following conditions:(i) T3 lesions (i.e. with cord fixed)(ii) All T4 lesions(iii) Invasion of thyroid or cricoid cailage(iv) Bilateral arytenoid cailage involvement(v) Lesions of posterior commissure(vi) Failure after radiotherapy or conservation surgery(vii) Transglottic cancers, i.e. tumours involving supraglottis and glottis acrossDhingra 6e pg: 310
Category:
ENT
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now