Laryngectomy
Laryngectomy, formally total laryngectomy, is the surgical removal of the larynx.
Introduction
The usual indication is laryngeal cancer.
Specimen opening
Protocol
The specimen consists of [total larynx/laryngopharyngectomy]
Components
- 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].