Laryngectomy

Laryngectomy, formally total laryngectomy, is the surgical removal of the larynx.

Introduction

The usual indication is laryngeal cancer.

Protocol

The specimen consists of [laryngopharyngectomy to include oropharynx, nasopharynx, hypopharynx, state laterality]

Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]. Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]. Thyroid gland [total/partial]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma]. Tracheal stoma: [describe/not present].

Tumour:

• Location: [oropharynx,nasopharynx,hypopharynx,state laterality, supraglottis, glottis, transglottis].
• Dimensions (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm.
• Appearance: [polypoid,exophytic,endophytic,multifocal].
• Extent of invasion: [epiglottis,aryepiglottic fold,arytenoid,trachea,vocal cords,other stuctures].

Soft Tissue margins:

• Distal (trachea): ___ cm.
• Proximal (epiglottic): ___ cm.
• Anterior: ___ cm.
• Posterior: ___ cm.
• Left lateral: ___ cm.
• Right lateral: ___ cm.
• Other: ___ cm.

Mucosal margins:

• Anterior: ___ cm.
• Posterior: ___ cm.
• Lateral: ___ cm.
• Deep: ___ cm.

Neck dissection: [dimensions, bilateral, radical, modified, selective] Lymph nodes: [dimensions, describe].

Representative sections are submitted as follows: [blocks].

See also

• Head and neck pathology.