These are organ-preserving surgeries designed to treat laryngeal cancer while maintaining as much voice and swallowing function as possible. Rather than removing the entire voice box (as in total laryngectomy), these surgeries remove only the cancerous portion of the larynx.
Partial laryngectomy refers broadly to removing part of the larynx.
Hemilaryngectomy involves removing one side of the larynx, often including one vocal fold.
Supraglottic laryngectomy removes structures above the vocal folds (like the epiglottis), preserving the voice.
CHP (Cricohyoidopexy) and CHEP (Cricohyoidoepiglottopexy) are advanced variations used to preserve swallowing while removing cancer-bearing areas.
These surgeries are performed through a neck incision under general anesthesia. A temporary tracheostomy is often required during healing. Recovery involves a hospital stay, speech and swallowing therapy, and close follow-up with scopes. The voice will change depending on the amount of tissue removed — some hoarseness or breathiness is expected. Swallowing usually improves over time. Risks include aspiration (food going down the wrong way), need for feeding tube support, or recurrence of cancer.
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