Laryngectomy removes the voice box, either partly or completely, for cancer of the larynx. In total laryngectomy, the windpipe is brought out to an opening in the front of the neck (a stoma), and breathing takes place through it, separate from the mouth and nose.

Patients lose the natural voice but can learn other ways to speak, including a voice prosthesis, an electrolarynx or oesophageal speech. Speech therapists and counsellors begin preparing for surgery. Swallowing is usually restored after healing.

How the Procedure Can Help

It removes the cancer and can cure advanced laryngeal tumours that cannot be controlled by other means.

Risks and Considerations

Risks include wound infection, leakage between the throat and skin (fistula), stoma narrowing and difficulty swallowing. Stoma care is taught to patients and families.