laryngectomy

many different techniques for surgical treatment oflaryngeal cancer have been devised since 1851 first per-formed a successful partial laryngectomy by laryngofissurefor this disease and 1875 first total laryngectomy hadcarried out. All the subsequent techniques however, havederived from the work of the early pioneers, and latermodifications have concerned mainly such details as anae-sthesia, skin incisions, succession of stages and methodsof closure.with the advent of surgical aids such as antibiotic,safer anaesthetics and blood transfusion, the whole scence~anged there are now few definite contraindications tolaryngeal surgery and serious complications are rare.operative mortality for major laryngeal operation isno more than 2-3 percent.The operation of radical block pissection of cervicallymphatics on one or both sides may need to be combinedwith any types of laryngectomy.Lateral partial ~aryngectomy often termed ”laryngo-fissure” is today performed less frequently, owing to theequally effective results achieved by teleradiation in sui-table cases. However, it still has a very definite placein situations where good radiation is not available, inirradiation failure and possibly for limitedoordal tumours in young adults, it is also a suitable opera-tion for the removal of many large benign laryngeal tumours.