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Related Concept Videos

Larynx01:21

Larynx

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The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
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Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
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Updated: Mar 30, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

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Apprehensions and problems after laryngectomy: Patients' perspective.

Ismail Hirani1, Atif Hafeez Siddiqui2, Iqbal Abdul Muhammad Khyani2

  • 1Department of ENT, Head & Neck Surgery, Saheed Muhtarma Benazir Bhutto Medical College & Lyari General Hospital, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|November 14, 2015
PubMed
Summary

Patients undergoing total laryngectomy for advanced laryngeal cancer experienced apprehensions and social challenges, particularly financial concerns. Attending a laryngeal club significantly improved these issues, highlighting the importance of support networks for laryngectomised individuals.

Keywords:
Total laryngectomy, Apprehensions, Social problems, Financial problem, Sexual relations.

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Area of Science:

  • Otolaryngology
  • Oncology
  • Psychosocial Oncology

Background:

  • Advanced laryngeal cancer often necessitates total laryngectomy, a procedure significantly impacting patients' quality of life.
  • Post-laryngectomy challenges include psychological, social, sexual, and financial difficulties.
  • Support systems play a crucial role in mitigating these adverse effects.

Purpose of the Study:

  • To assess the apprehensions and problems faced by patients after total laryngectomy for advanced laryngeal cancer.
  • To evaluate the impact of attending a laryngeal club on these post-operative challenges.
  • To understand the psychosocial and financial adjustments in laryngectomised individuals.

Main Methods:

  • An analytical study was conducted involving patients who underwent total laryngectomy for advanced laryngeal cancer.
  • Data was collected using a questionnaire assessing social, sexual, and financial impacts.
  • Patients attending the Laryngeal Club of Pakistan were evaluated, with data analyzed using SPSS 16.

Main Results:

  • A significant majority (74%) worried about financial uncertainty, and 67% regretted voice loss.
  • Social concerns like loss of family support (18%) and social rejection (12%) were noted.
  • Attending the Laryngeal Club helped alleviate apprehensions; 44% faced severe financial impact, while 82% received adequate family/friend support and 78% reported satisfactory sex lives.

Conclusions:

  • Laryngectomised patients commonly experience initial apprehensions and social issues, which improve over time or with support.
  • Financial constraints represent a primary challenge post-laryngectomy.
  • Good social support and satisfactory sexual relationships are achievable for most patients after laryngectomy.