Endoscopic Laser Surgery
A thin endoscope and laser can be used through the mouth to remove selected early-stage tumors without an external neck incision.
Minimally InvasiveComprehensive care for cancers of the larynx and voice box, from precise endoscopic procedures to partial and total laryngectomy, supported by rehabilitation and long-term follow-up.
The larynx, or voice box, plays an important role in speaking, breathing and swallowing. Laryngeal cancers can arise in different regions, so accurate assessment of the tumor's location and extent is an important part of treatment planning.
The appropriate procedure depends on tumor size, location, stage, overall health and the functional goals of treatment.
A thin endoscope and laser can be used through the mouth to remove selected early-stage tumors without an external neck incision.
Minimally InvasiveRemoves the affected portion of the larynx while aiming to preserve useful laryngeal function when appropriate.
Function PreservationRemoves selected disease involving the upper larynx while preserving the vocal cords in suitable cases.
Upper LarynxRemoves one side of the larynx in carefully selected patients while preserving as much functional tissue as possible.
Selected TumorsRemoves the entire larynx when required for advanced disease. Breathing then occurs permanently through a tracheostoma.
Advanced DiseaseImaging, examination, tumor characteristics and overall health are considered before selecting the most suitable treatment pathway.
Individualized CareDifferent surgical approaches have different functional consequences. Your treatment plan is based on the disease and what can safely be preserved.
Selected tumors may be treated by removing only part of the larynx.
In selected advanced cancers, the entire larynx may need to be removed to achieve appropriate cancer control.
Following total laryngectomy, the airway is separated from the mouth and nose and breathing occurs through a permanent opening in the neck called a tracheostoma.
Recovery can involve speech, swallowing, airway adaptation and emotional support.
A handheld electronic device can help produce speech following loss of the natural voice.
TEP can provide a pathway for voice rehabilitation using air from the lungs and a voice prosthesis.
Some patients can learn to use swallowed air and controlled release to create substitute speech.
Speech-language professionals can teach safe swallowing strategies during recovery.
A modified diet or temporary feeding tube may be required while swallowing function improves.
Counseling, family support and patient communities can help with communication and lifestyle adjustment.
Every operation has potential risks. The specific risks depend on the procedure, tumor location, previous treatments and individual health.
Total laryngectomy results in permanent breathing through a tracheostoma and requires airway care.
Partial procedures may result in hoarseness, while total laryngectomy requires alternative communication.
Some procedures can temporarily affect swallowing and may require therapy or dietary modification.
Major surgery can involve infection or delayed wound healing and requires appropriate monitoring.
Narrowing around the tracheostoma can interfere with breathing and needs medical assessment.
Depending on the individual cancer, modern treatment can incorporate surgical and non-surgical approaches.
Robotic-assisted technology can provide precise access to selected tumors through the mouth.
High-powered laser techniques can remove selected tumors while limiting damage to surrounding tissue.
Modern systemic treatments can help the immune system recognize and attack cancer cells in appropriate cases.
Certain medicines are designed to interfere with specific molecular signals involved in cancer growth.
Successful cancer care extends beyond the operation itself.
Patients learn long-term tracheostoma care following total laryngectomy.
Voice rehabilitation helps patients explore alternative methods of communication.
Counseling and support can help patients adjust to communication and lifestyle changes.
Regular clinical follow-up and appropriate imaging are important after cancer treatment.
Persistent hoarseness, swallowing difficulty, throat symptoms or other concerning changes should be evaluated by an appropriate specialist.
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