Validety of total laryngectomy Under local anaesthesia

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02/4/2014 11:55 AM

Validety of total laryngectomy Under local anaesthesia
 

Dr.Thamir M. Al-rubeai , FICMS (ENT)
Dr. Hani M. Bader FICMS , CABMS. (ENT)
Dr. Samar F. Ali FICMS , CABMS (ENT)


ABSTRACT
 
BackgroundCarcinoma of the larynx represent 10% of head & neck malignancies. The treatment of advanced carcinoma of larynx may include partial or total laryngectomy, with or without laser , radiotherapy,and or chemotherapy . Carcinoma of the larynx usually affect old age , heavy smoker with possible risk of pulmonary diseases & ischemic heart disease , which add risk to the general anaesthetic complication operative & postoperative - Objectives this study was designed to assess the feasibility of total laryngectomy under local anaesthesia in medically unfit patients for general anaesthesia & to re-establish practice doing total laryngectomy under local anaesthesia in those patients.



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