[Surgery of cancer of the larynx. The patient in the pre-, per-, and postoperative period].
Surgery of tumours of the larynx requires two main types of operation: -Extensive laryngeal surgery including: -the full pre-operative assessment and preparation of the patient's general condition which is always poor, e.g. due to alcoholism or respiratory failure. -variable techniques, adapted to the lesion, for the control of the patency of the upper airway. -operative risks, such as: reventilation shock, reflex cardiac arrest, disorders of cardiac rythm and gas embolism. -Its complications: -may be immediate and poorly specific, especially respiratory, neurological and infective. -secondary and more specific e.g. Pharyngostoma, and tracheal stenosis. -late complications due to spread of a malignant process. -Laryngeal surgery limited to one vocal cord for which local anaesthetic, improved by neuroleptanalgesia, such as Diethazine-Diparcol, best meets the surgeon and the interest of the patient.
D000530:Alfaxalone Alfadolone Mixture; D000768:Anesthesia, General; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects; D008614:Meperidine; D009458:Neuroleptanalgesia; D010640:Phenothiazines; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D012119:Respiration; D014827:Vocal Cords / Q000601:surgery
D010640:Phenothiazines; D000530:Alfaxalone Alfadolone Mixture; D008614:Meperidine
La chirurgie des cancers du larynx. Le malade en période pré-per et post-opératoire