(A735) Securing the Trachea After Total Laryngectomy Using a Tracheal Hammock Technique: A Novel Approach

Introduction:

Objective: To propose a novel surgical technique for total laryngectomy (TL) that aims to secure the larynx, reduce stomal tension, and increase surface area for peristomal device adherence, addressing the functional, psychological, and social challenges faced by laryngectomees.

Background: TL remains a crucial intervention for advanced laryngeal and tracheal cancers, as well as end-stage laryngeal dysfunction. Patients undergoing TL face significant concerns regarding communication, swallowing, breathing, and social reintegration. Recent advancements in peristomal prosthetics have shown promise in improving quality of life and social interactions for laryngectomees.

Methods:

Methods: This study introduces a novel surgical approach for TL in 2 patients, focusing securing the larynx to the clavicles bilaterally to facilitate stomal management. The technique aims to reduce tension on the laryngeal stoma and provide increased surface area for peristomal device adherence.

Results:

Results: The proposed technique addresses key challenges faced by laryngectomees, including communication difficulties, social isolation, and psychosocial impacts on patients and their partners. By improving the stability and functionality of peristomal devices, this approach may enhance vocal rehabilitation outcomes and social engagement. This has been used in 2 individuals with excellent qualitative results.

Conclusions:

Conclusion: This novel surgical technique for TL has the potential to significantly improve the quality of life for laryngectomees by facilitating better use of peristomal prosthetics, thereby addressing the functional, psychological, and social challenges associated with the procedure. Further research is needed to evaluate the long-term outcomes and effectiveness of this approach.