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Case of the Week 331

What's the most likely diagnosis?

  • 67 year-old male with difficulty speaking

  1. Mitral stenosis
  2. Aortic aneurysm
  3. Sarcoidosis
  4. Coarctation of aorta
  5. Laryngectomy

Additional Images - CT scan of upper thorax


Additional Images

Axial CT scan of upper thorax


5. Laryngectomy defect

More (Click Discussion Tab)

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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This Week

67 year-old male with difficulty speaking

Presented as a series of rotating cards, this podcast asks the most common causes of cardiac findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.


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