What's the most likely diagnosis?
- 67 year-old male with difficulty speaking
- Mitral stenosis
- Aortic aneurysm
- Sarcoidosis
- Coarctation of aorta
- Laryngectomy
Additional Images - CT scan of upper thorax
Additional Images
Axial CT scan of upper thorax
Answer:
5. Laryngectomy defect
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Laryngectomy Defect
General Considerations
- There are numerous surgical techniques for total or partial laryngectomies
- For most of the last century, total laryngectomies were the preferred surgical choice
- Radiation and chemotherapy together is used by some without surgery for certain stages
- During the latter half of the 20th century, partial laryngectomies that preserved the voice became more widespread
- Surgery can be followed by post-operative radiation therapy and chemotherapy
- Near-total laryngectomies aim to preserve speech while excising the tumor
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