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Complete laryngectomy; Partial laryngectomy
You will need to stay in the hospital for several days after surgery.
After the procedure, you will be groggy and will not be able to speak. An oxygen mask will be on your stoma. It's important to keep your head raised, rest a lot, and move your legs from time to time to improve blood flow. Keeping blood moving reduces your risk of getting a blood clot.
You can use warm compresses to reduce pain around your cut. Your nurse will give you pain medicine.
You will receive nutrition through an IV (a tube that goes into a vein) and tube feedings. Tube feedings are given through a tube that goes through your nose and into your esophagus (feeding tube).
You may be allowed to swallow food as soon as 2 to 3 days after surgery. But, it is more common to wait 5 to 7 days after your surgery to start eating through your mouth.
Your trachea drain will be removed in 2 to 3 days. You will be taught how to care for your tracheostomy tube and stoma. You will learn how to safely shower and swim. You must be careful not to let water enter through your stoma.
Speech rehabilitation with a speech therapist will help you relearn how to speak.
You will need to avoid heavy lifting or strenuous activity for about 6 weeks. You may slowly resume your normal, light activities.
Follow up with your doctor as often as your doctor says you need to.
Your wounds will take about 2 to 3 weeks to heal. You can expect full recovery in about a month. Many times, removal of the larynx will take out all the cancer or injured material. People learn how to change their lifestyle and live without their voice box.
Rassekh H, Haughey BH. Total Laryngectomy and laryngopharyngectomy. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 111.
Agrawal N, Goldberg D. Primary and Salvage Total Laryngectomy. Otolaryngologic Clinics of North America. August 2008;41(4).
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