SCENT OF RECOVERY: EXPLORING SMELL REHABILITATION IN TOTAL LARYNGECTOMY PATIENTS

Authors: Carlo Giovanni Rossi

Published: June 2024

Abstract

<p>Laryngeal cancer, predominantly affecting males, ranks among the most common malignancies of the upper aerodigestive tract, primarily manifesting as carcinomas. The therapeutic management of laryngeal malignant neoplasias encompasses diverse approaches, including radiation, chemotherapy, and surgery. While non-surgical treatments are typically preferred, surgical intervention, such as laryngectomy, becomes necessary when radiation and chemotherapy fail to yield desired therapeutic outcomes. In cases of partial laryngectomy, often combined with radiotherapy and/or chemotherapy, only a segment of the larynx is removed, preserving the normal airflow pathway through the nasal cavities, pharynx, larynx, trachea, and bronchi to the lungs. On the other hand, total laryngectomy (TL) becomes imperative in the treatment of advanced laryngeal cancer, requiring the complete excision of the entire larynx, including the hyoid bone. This procedure involves a surgical incision in the anterior neck, the severing of various muscles (e.g., hyoidean and lower pharyngeal constrictor muscles), followed by meticulous suturing, preserving the communication between the hypopharynx and the esophagus.</p>

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