Marshall Strome, M.D., Jeannine Stein, M.D., Ramon Esclamado, M.D., Douglas Hicks, Ph.D., Robert R. Lorenz, M.D., William Braun, M.D., Randall Yetman, M.D., Isaac Eliachar, M.D., and James Mayes, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Total laryngectomy and total occlusion of the larynx with tracheostomyare associated with an impaired sense of taste and smell, anincreased incidence of tracheobronchial infections, stomal encrustations,loss of nasal respiration, and loss of a human-sounding voice.A fundamental consideration in treating a patient whose larynxhas been irreparably damaged is whether the goals of surgeryshould include replacement of the larynx to improve the patient'squality of life. An early attempt to treat laryngeal cancerwith a partial laryngeal transplant1 was accompanied by rapidrecurrence of the tumor, an outcome that quashed interest inthe procedure for nearly . . . [Full Text of this Article]
Case Report
The Patient and the Donor
Surgical Procedure
Postoperative Course
Results
Voice Quality
Respiration and Swallowing
Infection
Thyroid Effects
Discussion
Source Information
From the Departments of Otolaryngology (M.S., J.S., R.E., D.H., R.R.L., I.E.), Nephrology and Hypertension (W.B.), and Plastic and Reconstructive Surgery (R.Y.), Cleveland Clinic Foundation, Cleveland; and Lifelink Transplant Institute, Tampa, Fla. (J.M.).
Address reprint requests to Dr. Strome at the Department of Otolaryngology, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195.
References
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