About Laryngectomy
Key Highlights
-
Definitive treatment for advanced laryngeal cancer, offering potential for cure.Restores a safe airway, allowing for normal breathing.Enables safe swallowing by separating the airway from the food passage.Can be combined with neck dissection for comprehensive cancer management.Provides a pathway for voice rehabilitation through various techniques post-surgery.
Who is this surgery for?
- Advanced squamous cell carcinoma of the larynx (most common indication).
- Recurrent laryngeal cancer after radiation or chemoradiation therapy.
- Severe trauma to the larynx that cannot be reconstructed.
- Extensive necrosis (tissue death) of the larynx from radiation therapy.
- Chondroradionecrosis (damage to laryngeal cartilage from radiation).
- Certain rare tumors or conditions unresponsive to other treatments.
How to prepare
- Comprehensive pre-operative evaluation including CT/MRI scans and biopsy confirmation.
- Consultation with a speech-language pathologist (SLP) to discuss voice rehabilitation options.
- Complete medical workup (blood tests, ECG, chest X-ray) to assess fitness for major surgery.
- Pre-operative counseling with the surgeon and SLP regarding life changes (breathing, speaking, swallowing).
- Smoking cessation is critically important to improve healing.
- Nutritional assessment; a feeding tube may be discussed for post-operative nutrition.
- Informed consent process detailing the procedure, risks, and life after surgery.
Risks & possible complications
- General surgical risks: Bleeding, infection, reaction to anesthesia.
- Formation of a pharyngocutaneous fistula (leakage of saliva through the neck wound).
- Difficulty swallowing (dysphagia) or aspiration.
- Stenosis (narrowing) of the stoma or pharynx.
- Damage to nearby structures like the thyroid gland, parathyroid glands (leading to hypocalcemia), or nerves.
- Permanent loss of natural voice; success of alternative speech varies.
- Changes in physical appearance and body image due to the neck stoma.
- Psychological and social adjustment challenges.
Recovery & hospital stay
- Initial hospital stay involves monitoring in an ICU or step-down unit.
- Breathing occurs through a neck stoma; humidification is essential to keep secretions thin.
- A temporary feeding tube (nasogastric or gastrostomy) is used until swallowing is safe, typically for 1-2 weeks.
- Neck drains are placed to remove fluid and are removed after a few days.
- Wound care and stoma care education are provided for the patient and caregivers.
- Speech therapy begins once healed, exploring options like esophageal speech, electrolarynx, or TEP prosthesis.
- Follow-up appointments are crucial for wound checks, cancer surveillance, and speech rehabilitation.
- Long-term adaptation includes learning to protect the stoma from water (no swimming) and using a stoma cover or humidifier.
-
Typical hospital stay: 7-14 days
-
Expected recovery time: 6-8 weeks for initial healing; 6-12 months for full adaptation and voice rehabilitation
Frequently Asked Questions
If you are considering laryngectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for laryngectomy in India include Manipal Hospital Dwarka, Manipal Hospital Jayanagar, Manipal Hospital Malleshwaram, Manipal Hospital Hebbal, Manipal Hospital Hebbal, KMC Hospital Mangalore, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform laryngectomy. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for laryngectomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 800 Thousand | 7-14 days | ~ 6-8 weeks for initial healing; 6-12 months for full adaptation and voice rehabilitation | Know More |
| Turkey | TRY 875 Thousand – 2.8 Million | 7-14 days | ~ 6-8 weeks for initial healing; 6-12 months for full adaptation and voice rehabilitation | Know More |
Top hospitals for Laryngectomy in India
These partner hospitals in India have dedicated ent teams and experience managing patients undergoing laryngectomy.
Aarav Singh, a 58-year-old retired school...
Aarav Singh, a 58-year-old retired school teacher and avid classical music enthusiast from Varanasi, had been a lifelong smoker. For months, he endured a persistent hoarseness that progressed to a painful, raw throat and difficulty swallowing. A biopsy confirmed advanced squamous cell carcinoma of the larynx. His ENT surgeon, Dr. Mehta, explained that due to the tumor's size and location, a total laryngectomy was the only curative option to remove the cancer entirely. The surgery was successful but profound. Aarav woke up breathing through a stoma in his neck, his voice gone. The initial weeks were a fog of physical pain, learning stoma care, and overwhelming grief for the loss of his voice and his connection to music. With the support of a speech-language pathologist, he began learning esophageal speech, finding a new, deeper resonance. While he misses his old voice and singing bhajans, he is cancer-free one year on. His emotional journey moved from despair and identity loss to a hard-won acceptance and resilience, focusing on the gift of life and expressing himself through writing and the patient support group he now helps lead.
ENT Specialists for Laryngectomy
Explore experienced ent specialists who regularly perform laryngectomy and provide pre- and post-operative care in India.
- 16 Years Experience
- ENT Specialist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- ENT Specialist
Manipal Hospital Yeshwanthpur, Bangalore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- ENT Specialist
- 26 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 21 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 18 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 43 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 38 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 36 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 29 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 19 Years Experience
- ENT Specialist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- ENT Specialist
Manipal Hospital Kharadi, Pune
- 26 Years Experience
- ENT Specialist
Manipal Hospital Jayanagar, Bangalore