Get that voice box out!
This is a total laryngectomy surgery due to 4th stage laryngeal carcinoma!
Surgical removal of the larynx is commonly used to treat patients with advanced stages of laryngeal and hypo-pharyngeal cancers, which are malignant in nature and are not suitable for conservative techniques or in case of their failure.
The entire larynx is removed and the airway is interrupted, respiration is being performed through a tracheal stoma resulting from bringing the trachea to the skin in the lower, anterior, cervical area.
The surgery results in voice and smell loss following the complete and permanent separation of the superior part of the airway from the inferior one.
It can be also practiced in a case of post-traumatic laryngeal stenosis or cases of benign, extensive tumours with malignancy potential (recurrent laryngo-tracheal papillomatosis).
Voice functions can be replaced with a voice prosthesis placed in the tracheo-oesophageal puncture created by the surgeon or by electrolarynx, an external device that is placed against the neck and creates vibration that the speaker then articulates.