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VOLUME 2 , ISSUE 3 ( September-December, 2010 ) > List of Articles

RESEARCH ARTICLE

Near-total Laryngectomy

Prathamesh S Pai, Sultan A Pradhan

Keywords : Larynx,Hypopharynx,Cancer,Near-total laryngectomy

Citation Information : Pai PS, Pradhan SA. Near-total Laryngectomy. Int J Otorhinolaryngol Clin 2010; 2 (3):247-252.

DOI: 10.5005/jp-journals-10003-1044

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Dr. Bruce Pearson described near-total laryngectomy (NTL) in 19811 a procedure which creates a biological shunt between the airway and the neopharynx to restore speech. Unlike other biological shunts, this is a dynamic myomucosal shunt which has universal applicability as seen by various series published from around the world.2-11 We feel that the NTL procedure is oncologically safe and can provide a serviceable, prosthesis free voice and should be considered as a sound treatment option in advanced but lateralized cancers of the laryngopharynx. NTL has been described extensively in literature but we would like to highlight in this technical note a few modifications which we have found to be suitable and easily applicable by surgeons who regularly perform a total laryngectomy. We feel strongly that each and every surgeon who intends to treat laryngopharyngeal cancer should be well versed in this technique. A NTL shunt performed in a suitable patient gives the ability to phonate at will and makes the patient independent of a medical professional since the shunt is permanent and maintenance free.


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