Near-total Laryngectomy: An Oncologically Safe Alternative

Traditional treatment for advanced transglottic laryngeal and hypopharyngeal cancers is wide field laryngectomy. Patients who undergo wide field laryngectomy must also undergo voice rehabilitation with a prosthesis, electrolarynx or esophageal speech. These are associated with compli cations, such as bloating of the stomach, stenosis, aspiration and difficulty with hygiene of the TEP prosthesis. Near-total laryn gec tomy is a surgical treatment modality, where speech is maintained by way of a dynamic myomucosal shunt. It was specially designed to overcome the serious complications of adynamic tracheo esophageal shunt methods.