Total laryngectomy.

Abstract

Although it is an excellent oncologic procedure and secures good swallowing without aspiration, it has disadvantages such as having a permanent tracheostomy; that verbal communication is dependent on oesophageal speech, and/or tracheoesophageal fistula speech or an electrolarynx; hyposmia; and the psychological and financial/ employment implications. Even in the best centers, about 20% of patients do not acquire useful verbal communication.