OLFACTORY RESURGENCE: A COMPREHENSIVE EXPLORATION OF SMELL REHABILITATION AFTER TOTAL LARYNGECTOMY

Abstract

Laryngeal cancer, predominantly affecting males, constitutes a common malignancy within the upper aerodigestive tract, primarily manifesting as carcinomas. This abstract delves into the therapeutic landscape for laryngeal malignant neoplasias, exploring the intricate interplay of radiation, chemotherapy, and surgery in their management. While non-surgical interventions are preferable, laryngectomy becomes imperative when alternative treatments prove ineffective. A cornerstone in the treatment arsenal is partial laryngectomy, often complemented by radiotherapy and/or chemotherapy. This surgical approach involves the selective removal of a portion of the larynx, preserving the normal airflow through the nasal cavities, pharynx, larynx, trachea, and bronchi. This abstract scrutinizes the nuances of partial laryngectomy, emphasizing its role in maintaining essential physiological pathways while addressing laryngeal malignancies. In instances where laryngeal cancer advances beyond the scope of partial interventions, total laryngectomy emerges as a requisite therapeutic measure. The procedure entails the complete excision of the entire larynx, including the hyoid bone. A surgical incision in the anterior neck marks the initiation of total laryngectomy, where precise incisions sever hyoidean muscles and the lower pharyngeal constrictor muscle. The subsequent meticulous stitching aims to uphold communication solely between the hypopharynx and the esophagus. Through an exploration of pertinent literature, encompassing studies by Boscolo-Rizzo et al. (2008), Zenga et al. (2018), and Woodard et al. (2007), this abstract sheds light on the evolving landscape of therapeutic modalities for laryngeal cancer. It addresses the rationale behind the selection of specific interventions, weighing the efficacy of non-surgical approaches against the imperative need for surgical procedures in cases of inadequate response to alternative treatments.In conclusion, this abstract provides a comprehensive overview of the therapeutic avenues available for laryngeal malignant neoplasias. It underscores the significance of tailored interventions, balancing the preservation of physiological functions with the imperative demands of treating advanced laryngeal cancers through surgical means.