Primary tracheoesophageal puncture : This procedure is performed during the total laryngectomy surgery.
2.
Surgery can include laser excision of small vocal cord lesions, partial laryngectomy ( removal of part of the larynx ) or total laryngectomy ( removal of the whole larynx ).
3.
For example, some patients with a smoking-caused larynx cancer that was removed by a total laryngectomy will be so desperate for a ` fix'they will improvise a device that holds a cigarette so that they can smoke through their tracheostomy opening.
4.
The main advantages of a primary puncture are : 1 ) that a second surgery to create the puncture is avoided ( including the related costs and risks ) and : 2 ) that the patient will be able to speak within a few weeks after total laryngectomy.
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