Can you eat after a total laryngectomy for throat cancer?

Written by Li Mao Cai

Otolaryngology

Updated on September 02, 2024

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After the total laryngectomy for throat cancer, a period of recovery is necessary, during which time liquid food is administered via a nasogastric tube. Once recovery is complete, it is possible to eat orally. Because the entire larynx is removed during a total laryngectomy, the functions of voice and breathing are lost, and breathing is instead facilitated through a tracheostomy in the neck. Eating is completely unaffected. After recovery from the total laryngectomy, food is ingested orally, passes through the pharynx, and goes directly into the esophagus. Thus, it is possible to eat orally after a total laryngectomy for throat cancer.

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Can throat cancer be detected by a CT scan?

Most laryngeal cancers can be detected through CT scans because, during the scan, it is possible to see whether there are neoplasms in the area of the pharynx and larynx, especially around the laryngeal cavity, ventricle, and vocal cords. Generally, if there are any growths, they will be visible on a CT scan. However, some early-stage laryngeal cancers, where the mucosa has just started to show changes, might be missed by CT scans. In such cases, it is generally recommended to also perform a laryngoscopic examination. If possible, conducting an NBI (Narrow Band Imaging) laryngoscopy could reveal early mucosal changes. If early-stage laryngeal cancer is confirmed by pathology, surgical or radiation treatment can be very effective and generally has a low chance of recurrence.

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Early symptoms of throat cancer

Laryngeal cancer is a relatively common type of malignant tumor in the head and neck region. In terms of clinical symptoms, if it is early-stage laryngeal cancer, there may not be obvious clinical manifestations. This condition is usually discovered during physical examinations or laryngoscopic examinations. Some patients may experience hoarseness, sore throat, a foreign body sensation in the throat, or possibly swallowing obstruction and difficulty breathing. Once these symptoms appear, a laryngoscopic examination is necessary. Generally, the scope of the condition can be preliminarily judged through laryngoscopic examination, and surgical treatment or radiation therapy can typically be considered.

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Otolaryngology

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Do the early symptoms of laryngeal cancer include coughing?

Throat cancer refers to malignant tumors that occur in the pharyngeal region. Clinically, it commonly manifests as vocal cord cancer, pyriform sinus cancer, and hypopharyngeal cancer. The causes are linked to long-term smoking, alcohol consumption, gastrointestinal dysfunction, acid reflux, irritations, and improper or excessive use of the voice leading to cellular mutations. In its early stages, patients generally experience persistent worsening hoarseness. Sometimes, patients may also suffer from irritative coughing, a foreign body sensation in the throat, obstruction feeling, and breathing difficulties. Patients need to undergo a detailed examination with an electronic laryngoscope at a hospital, which can reveal cauliflower-like neoplasms in any part of the pharynx. At this point, a local biopsy is necessary. If the biopsy confirms a malignant tumor in the pharyngeal region, local surgical removal is required, followed by relevant radiotherapy or chemotherapy.

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Otolaryngology

53sec

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Precursors of throat cancer

Nasopharyngeal cancer, located behind the nasal cavity and above the oropharynx, is generally difficult to diagnose early due to its concealed location. However, there are early signs, such as nasopharyngeal bloodstained mucus experienced during sniffing, which should raise suspicions of nasopharyngeal cancer. Additionally, early-stage nasopharyngeal cancer may present with unilateral nasal obstruction, which gradually progresses to more severe blockage. Another indication is the presence of a neck lump or enlarged lymph nodes, which also suggests the possibility of nasopharyngeal cancer. Other nonspecific reactions, such as dermatitis, dermatomyositis, or a general skin rash, should also be considered potential indicators of nasopharyngeal cancer. These signs require attention.

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How to rule out throat cancer

Throat cancer is a common malignant tumor in otolaryngology, ranking among the top of various malignant tumors in this field. Patients with throat cancer typically experience symptoms such as throat pain and discomfort in the early stages. We can use electronic laryngoscopy and CT scans of the throat area for diagnosis to achieve early detection and treatment. For cases showing cauliflower-like or abnormal proliferation in the throat area, a local biopsy can be conducted for pathological confirmation. Once throat cancer is detected, it is crucial to complete necessary examinations promptly, rule out surgical contraindications, and proceed with surgery as soon as possible. Treatment should also be complemented with radiotherapy and chemotherapy to aid in curing the patient.