Minimally invasive surgery can be performed to maximize laryngeal function even in the middle stage of laryngeal cancer

   Some middle-aged and elderly men who are hoarse inexplicably should pay attention to this. Long-term hoarseness may be due to laryngeal cancer. Recently, the provincial laryngeal voice center has seen several cases of laryngeal cancer patients with hoarse voice one after another.  It took more than a year to find out that it was laryngeal cancer, and Uncle Li in Fuzhou is 70 years old. Starting from last year, his voice suddenly became hoarse. He went to several hospitals for examination and also had a general electronic laryngoscope, but the doctors said it was laryngitis. He took medicine, but still no improvement. Recently, Yi-Be came to the Laryngo-Voice Center of the Provincial Hospital for another examination.  Dr. Ting Chen, who returned from clinical training at the Laryngeal Voice Center of Harvard University’s Massachusetts General Hospital in the United States, saw him. Under the dynamic laryngoscope, Dr. Ting Chen observed and analyzed the mucosal waves of vocal cord vibration. The doctor found that although the vocal folds were normal in appearance, the instrument showed that the mucosal waves of the right vocal fold had disappeared, which meant that the right vocal fold might be diseased. So, Chen Ting took a tissue biopsy of Yi-bo’s right vocal cord. Once the biopsy was done, she realized that Uncle Li was already in the middle stage of laryngeal cancer (T2).  Minimally invasive surgery to cut laryngeal cancer and save his voice With traditional surgery, part or even all of his larynx would have to be removed. In addition, he might have a tube inserted in his larynx for the rest of his life after surgery and might never be able to speak normally. This was too much for him to accept.  Dr. Ting Chen said that nowadays, technology has advanced, and with endoscopic laser minimally invasive surgery to remove laryngeal cancer, there is no need to cut open the trachea, and there is a great possibility to preserve the voice by eating normally after the surgery. After that, Dr. Li decided to undergo the minimally invasive laser surgery. The surgery went smoothly and he was discharged from the hospital after only one week of hospitalization. If he had undergone the previous open surgery, he would have been hospitalized for at least a month.  Chen Ting said that in the past, due to the backwardness of domestic surgical equipment, only open surgery with huge damage could be performed, and laryngeal cancer patients could not breathe, eat and speak normally after surgery, thus becoming disabled. Nowadays, successful minimally invasive laryngeal cancer surgery is not only helped by microscopic laryngoscope, but also a laser that has no dead space for operation at all, which can completely remove cancerous tissues and eliminate recurrence.  Chen Ting, a middle-aged and elderly male smoker prone to laryngeal cancer, said that 2 years ago, the provincial hospital established the first laryngeal voice center in the province, equipped with the most advanced equipment, in accordance with the configuration of the laryngeal voice center of the Massachusetts General Hospital of Harvard University. After more than a year of trial operation, the provincial laryngeal voice center has recently become officially operational. During this year-long period, the center has seen many laryngeal cancer patients.  She said that laryngeal cancer is prone to middle-aged and older men over 40 years old, most of whom have a long history of smoking. Early symptoms of laryngeal cancer are usually not obvious, some of them only show foreign body sensation in the throat and hoarseness, which can be easily ignored. Dr. Ting Chen reminded that any middle-aged or elderly patients with abnormal discomfort and foreign body sensation in the larynx and hoarseness for more than one month should undergo detailed laryngoscopy for early detection of laryngeal cancer.