Very Early Stage Laryngeal Cancer - Larynx Cancer
When very early stage laryngeal cancer is detected, the disease is either treated through intraoral surgeries, sometimes using high-tech devices such as lasers, or It can be cured with radiotherapy and most of the patients can recover from the disease. In this case, the surgical method used is laryngoscopy, and either specially developed surgical instruments or laser devices are used to cut the tissues.
During this treatment, the procedure that patients fear the most and avoid is tracheotomy (a hole in the trachea in the front of the neck). Surgery and radiotherapy methods have their own advantages and disadvantages, and these are conveyed to the patient and his/her relatives in the treatment selection and the selection is made together.
Early Stage Laryngeal Cancer. - Larynx Cancer
In patients with early stage laryngeal cancer, a limited surgery or radiotherapy will often save the patient from the disease and enable him to live a disease-free life.
Surgeries It is performed by laryngoscopy or by making an incision in the neck skin, as in very early stage laryngeal cancer, without any incision in the neck skin.
Even if open surgery is performed in these patients, it is usually sufficient to remove a part of the larynx, and during the surgery, tracheotomy (paleness in the front part of the neck) If a hole in the larynx is applied, it can be closed after a while and the patient can eat, breathe through the nose and mouth, and speak as before.
The lymph (flow) flow of the parts of the larynx above and below the area where the vocal cords are located is strong. For this reason, even in the early stage tumors of these regions, the lymph nodes in the neck should be included in the treatment plan.
Late Stage Laryngeal Cancer - Larynx Cancer
Late stage In patients presenting with laryngeal cancer, the disease can be completely eliminated and the patient can continue a disease-free life, often by using both surgery and radiotherapy methods together.
Using one of these two treatment methods alone may sometimes be insufficient and reduces the patient's chance of survival. In some cases, chemotherapy (drug treatment) can also be added to these two treatment methods.
Depending on the extent of the disease in the larynx, if surgical treatment allows the preservation of a part of the larynx, the tracheotomy hole can be closed later and the patient can use his/her voice comfortably and breathe through the nose and mouth. becomes available. However, if the tumor has not left a very solid area in the larynx, it may be possible to remove the entire larynx and create a permanent hole in the front of the neck.
After the recovery period is completed, patients whose larynx has been completely removed can eat and drink comfortably, and the neck area can be removed. They can breathe through the hole and often become able to speak with various methods such as voice prosthesis.
In late-stage cancers, sometimes the tumor cells in the neck lymph nodes reach the lymph nodes through the lymph vessels and adhere and multiply there, There is enlargement of the glands and neck-oriented planning is added to the treatment plan. Even if there is no visible spread of disease in the neck, it is generally possible to take the neck regions into consideration in the treatment in case of this possibility.
During laryngeal surgery, neck dissection (the process of removing the lymph nodes of the neck) or during radiotherapy, the patient is included in the radiation field. The possibility of recovering from the disease and returning to health will increase.
Very Late Stage Laryngeal Cancer - Larynx Cancer
With very late stage laryngeal cancer What is meant is cases where there is no intact part of the larynx, sometimes the disease covers other structures of the neck other than the larynx, or spreads to distant organs such as the lungs and brain through the blood.
In cases where there is no spread to distant organs through blood, the larynx is removed and Following radiotherapy and chemotherapy, many patients can overcome the disease.
Complete removal of the larynx, tracheostomy (the opening of the trachea to the front of the neck). requires excavation). In this case, after the critical postoperative period (usually a few weeks) ends, the patient can swallow easily and breathe from the front of the neck. Voice prosthesis application may be necessary for some patients to enable them to speak.
In cases where removal of the larynx is not desired, it is possible to regress the disease by applying radiotherapy and chemotherapy together. However, this practice is very heavy and involves many risks.
In very late stage cancers, as in late stage tumors, the height should be taken into consideration in the treatment in case the disease spreads.
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