Does T3 laryngeal cancer require total laryngectomy?

Written by Yan Chun
Oncology
Updated on April 06, 2025
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In clinical practice, most patients with stage T3 laryngeal cancer require total laryngectomy. Postoperative measures include voice reconstruction and rehabilitation exercises to ensure the quality of life after surgery. This is because stage T3 laryngeal cancer implies that the cancer has extended beyond the local area of the larynx and has affected one vocal cord. To ensure the radical nature of the surgery, a total laryngectomy is necessary for patients who have advanced to stage T3. However, this type of surgery can lead to postoperative functional impairments such as speech difficulties. Therefore, it is recommended that patients begin functional exercises very early post-surgery.

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Written by Li Mao Cai
Otolaryngology
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Can you eat after a total laryngectomy for throat cancer?

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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Written by Li Rui
Otolaryngology
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Does throat cancer infect others?

Throat cancer generally is not contagious. Currently, the most accurate and fundamental etiology of throat cancer is not particularly clear. It may be related to genetic factors or issues with genes, or it could be due to long-term lifestyle habits, such as smoking, drinking alcohol, or exposure to irritating radioactive substances. Overall, from existing medical treatments and research, there is no evidence found of definite contagiousness. Thus, it is not considered an infectious disease, and excessive isolation is not necessary. Regarding treatment, it is primarily surgical-based at the moment, with some patients requiring a combination of radiotherapy or chemotherapy as comprehensive treatment methods. Also, long-term regular follow-ups are needed to monitor the recovery process.

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Written by Xu Qing Tian
Otolaryngology
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Can benign throat cancer be cured?

Laryngeal cancer is a type of malignant tumor located in the larynx and is a common malignant tumor in otolaryngology, characterized by a high degree of malignancy and a tendency for early metastasis. Patients with laryngeal cancer primarily exhibit symptoms such as hoarseness, difficulty swallowing, and in later stages, breathing difficulties. Early detection and diagnosis of laryngeal cancer can lead to cure in most early-stage patients through treatments like laser surgery or open surgery. For mid to late-stage patients, in addition to surgical treatment, postoperative radiation and chemotherapy are generally required to manage symptoms and prevent metastasis of laryngeal cancer.

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Written by Xu Qing Tian
Otolaryngology
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Can throat cancer patients eat sea cucumber?

Patients with throat cancer can eat sea cucumbers, which contain rich proteins, trace elements, amino acids, and other components that are very beneficial to health. These can help improve the patient's immune function and resist the occurrence of tumors. Additionally, patients should eat more vegetables and fruits containing vitamins to help enhance their immune function. For diagnosing throat cancer, we mainly use electronic nasopharyngoscopy and CT scans of the throat area to make a clear diagnosis. After throat cancer occurs, we usually perform surgery as soon as possible to remove the tumor while trying to preserve as much of the patient's laryngeal function as possible, in order to improve the patient's quality of life.

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Written by Li Rui
Otolaryngology
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What are the symptoms of throat cancer?

The symptoms of laryngeal cancer are quite varied, and there are some differences among different types of laryngeal cancer. For glottic laryngeal cancer, a common symptom is hoarseness because the cancer primarily develops on the vocal cords. This can lead to incomplete closure of the vocal cords or restricted movement during speech, causing hoarseness. Symptoms generally appear early in the course of the disease for this type. For supraglottic or subglottic laryngeal cancer, symptoms may include throat pain, a feeling of a foreign body, and difficulties in swallowing and breathing. However, hoarseness generally appears later in these cases. The primary treatment is surgery, with some patients requiring consideration for radiotherapy and chemotherapy.