Laryngectomy Procedures at Sheikh Shakhbout Medical City
Laryngectomy is a surgical procedure that involves the removal of the larynx, commonly known as the voice box. This operation is crucial for patients suffering from severe laryngeal conditions, particularly cancers. At Sheikh Shakhbout Medical City (SSMC), a leading healthcare facility in the UAE, various types of laryngectomy are performed, including total, partial, supraglottic, and hemilaryngectomy. This article explores these procedures in detail.
Types of Laryngectomy
Total Laryngectomy
A total laryngectomy involves the complete removal of the larynx along with surrounding tissues. This procedure is typically indicated for advanced laryngeal cancer where the entire organ is affected. Post-surgery, patients breathe through a stoma (a hole in the neck), which requires adjustments in communication methods, often leading to the use of speech therapy and alternative communication devices.
Partial Laryngectomy
In a partial laryngectomy, only a portion of the larynx is removed. This approach is often suitable for patients with localized tumors that do not necessitate complete removal of the organ. The goal is to preserve as much function as possible, allowing patients to maintain some ability to speak and breathe normally.
Supraglottic Laryngectomy
A supraglottic laryngectomy targets the upper part of the larynx, removing structures above the vocal cords while preserving the vocal cords themselves. This procedure is beneficial for patients with cancers affecting this specific area, allowing for better preservation of voice quality compared to total laryngectomy.
Hemilaryngectomy
A hemilaryngectomy involves the removal of one side of the larynx. This type of surgery is often performed for unilateral tumors and aims to retain as much functionality as possible. Patients may experience changes in their voice but can often maintain adequate breathing and swallowing functions.
The Surgical Approach at SSMC
At Sheikh Shakhbout Medical City, a multidisciplinary team of specialists conducts these surgeries using state-of-the-art techniques and technologies. The surgical process may involve:
- Preoperative Assessment: Comprehensive evaluations including imaging studies (CT, MRI) and endoscopic examinations to determine the extent of disease.
- Advanced Surgical Techniques: Utilization of minimally invasive approaches when feasible to reduce recovery time and complications.
- Reconstructive Surgery: Post-laryngectomy reconstructive procedures are often necessary to restore speech and swallowing capabilities. Techniques may include microvascular free flap surgery or prosthetic devices.
Postoperative Care and Rehabilitation
Post-surgery, patients receive tailored rehabilitation programs designed to aid recovery. This includes:
- Speech Therapy: Essential for helping patients adapt to changes in their ability to communicate.
- Nutritional Support: Guidance on dietary adjustments post-surgery to accommodate changes in swallowing.
- Psychosocial Support: Counseling services are available to address emotional and psychological challenges faced during recovery.
Laryngectomy procedures at Sheikh Shakhbout Medical City are conducted with a focus on patient-centered care, employing advanced surgical techniques and comprehensive rehabilitation strategies. By offering total, partial, supraglottic, and hemilaryngectomy options, SSMC ensures that patients receive tailored treatment plans aimed at preserving quality of life while effectively managing head and neck cancers
