Hemilaryngectomy

**Hemilaryngectomy** is a type of laryngeal surgery that involves removing half of one of the vocal cords and half of the laryngeal cartilage. The main indication is cancer of the laryngopharynx, but it is also possible to perform surgery for other tumor and inflammatory diseases of the larynx.

In most cases, hemilaryngectomy is performed under general anesthesia and short-term premedication is used. The length of the incision does not exceed 5-6 cm, it is made horizontally from the trachea to the larynx and then down the thyroid-cervical fold (there is no need to penetrate the esophagus). The size of the thyroid cartilage may vary depending on the volume of removal



**Hemilaryngectomy** is an operation to remove the upper half of the larynx. The procedure is performed if the cancer has spread to it or the tumor has begun to press on surrounding tissue. As the disease spreads, the risk of damage to the vocal cords increases, so doctors prefer to remove them too, so that a dysphonic voice does not occur. This is the only treatment that prevents cancer cells from spreading further into the lungs. Now the technology for removing a tumor node is developing; the method is considered outdated only due to the complexity of the technology. Typically, hemilarygectomy is performed through the operating table, but laparoscopy is performed at the patient's request.