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Duration depends on surgery extent.","restrictions":["Often nothing by mouth initially","Limited neck movement and voice use"]},{"phase":"Early recovery at home","description":"Wound healing, gradual return to oral diet, stoma or tracheostomy care, pathology review and adjuvant therapy planning.","restrictions":["Avoid heavy lifting and strenuous activity","No smoking or alcohol"]},{"phase":"Later rehabilitation","description":"Speech and swallowing rehabilitation, shoulder physiotherapy after neck dissection, and adjuvant radiotherapy or chemoradiotherapy if indicated.","restrictions":["Activity guided by surgical team and adjuvant treatment"]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Oral diet, stoma care and basic communication recovery; longer with neck dissection or adjuvant therapy."},"result_longevity":"Tumor removal is intended to be definitive, with lifelong oncologic surveillance. 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Open partial or total laryngectomy and neck dissection leave a neck incision scar, and total laryngectomy leaves a permanent neck stoma.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical operation; adjuvant radiotherapy is separate and only if indicated."},"stages":[{"code":"surgery","label":"Laryngectomy with or without neck dissection","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"One surgical admission; any adjuvant therapy depends on pathology and is separate."},"success":{"metric":"5-year overall survival after total laryngectomy","value":55,"unit":"percent","horizon":"5 years","population":"Adults with resectable advanced laryngeal cancer treated with total laryngectomy","evidence_status":"limited"},"techniques":[{"name":"Transoral laser or robotic microsurgery (endoscopic cordectomy/supraglottic resection)","suits_whom":"Selected early-stage (T1–T2) laryngeal or pharyngeal tumors with adequate endoscopic exposure","recovery":"Short hospital stay, no external incision; voice and swallowing recovery over weeks."},{"name":"Open partial (conservation) laryngectomy","suits_whom":"Selected intermediate-stage laryngeal tumors that preserve enough functional larynx","recovery":"Hospital stay of several days to about a week or more; temporary tracheostomy or feeding tube possible; swallowing rehabilitation needed."},{"name":"Total laryngectomy","suits_whom":"Advanced laryngeal cancer, cartilage invasion, or failure of organ-preservation treatment","recovery":"Hospital stay often around 1–2 weeks; permanent end tracheostomy; voice rehabilitation (e.g., tracheoesophageal prosthesis) and swallowing recovery needed."},{"name":"Neck dissection (added when nodal disease is present or at risk)","suits_whom":"Patients with clinically positive or high-risk cervical lymph nodes","recovery":"Drain care and shoulder/neck physiotherapy; adds to the overall recovery time."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Total laryngectomy; longer with neck dissection or flap reconstruction."},"initial_assessment_documents":["Biopsy and pathology report","Contrast CT or MRI of neck","PET-CT report","Laryngoscopy or endoscopy report with images","Staging summary or tumor board conclusion","Swallowing and voice assessment (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single surgical admission; stay about 1–3 weeks by technique. Second trip only if adjuvant radiotherapy or follow-up is done abroad."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=brazilia/procedure=operacia-pri-rake-gortani/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":2,"alias":"larynx-cancer","name":"Cáncer de laringe"}],"rendersOffersList":false}