In simple words: The doctor removes part of the voice box (larynx) above the vocal cords to treat a problem like cancer.This surgery only takes out the diseased part and leaves nearby lymph nodes and tissues alone. A small tube is placed in the throat to help with breathing during and after the surgery. A feeding tube is also put in place.

This procedure involves the surgical removal of a portion of the larynx (voice box) located above the vocal cords.It's a subtotal (partial or near-total) resection, specifically targeting the supraglottic region.The procedure excludes radical neck dissection, meaning lymph nodes and other surrounding tissues are not removed. A tracheostomy is typically performed before the main surgery to ensure the patient's airway remains open during the procedure and recovery. The surgeon makes an incision, elevates flaps to access the supraglottic area, carefully preserving crucial nerves and muscles. Diseased laryngeal tissue is excised, potentially including parts of the thyroid cartilage, false vocal cord, epiglottis, and hyoid bone. The wound is then closed in layers, and a nasogastric tube is inserted for feeding.

Example 1: A 65-year-old male presents with a supraglottic laryngeal carcinoma.Imaging demonstrates a tumor confined to the supraglottic region with no evidence of lymph node involvement.A subtotal supraglottic laryngectomy without radical neck dissection is performed., A 72-year-old female with a history of smoking presents with a T1N0M0 supraglottic laryngeal squamous cell carcinoma.The tumor is localized and amenable to function-preserving surgery.A subtotal supraglottic laryngectomy without radical neck dissection is planned., A 58-year-old male is diagnosed with supraglottic cancer after biopsy.The tumor is large but confined to the supraglottic region with clear margins.Due to the size, an extended near-total supraglottic laryngectomy is considered without lymph node removal.

* Preoperative assessment including history, physical examination, imaging (CT scan, MRI), and biopsy results confirming the diagnosis and extent of the tumor.* Operative report detailing the surgical procedure including the extent of resection and structures removed.* Pathology report confirming the diagnosis and margins of resection.* Postoperative progress notes documenting the patient's recovery, including airway management, nutritional status, and any complications.

** This procedure is often considered function-preserving surgery, aiming to remove the tumor while minimizing the impact on speech, swallowing, and breathing.However, outcomes vary depending on the tumor's size and location.Postoperative speech therapy and swallowing rehabilitation are often necessary.