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Case of the Week 331 
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
Answer:
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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LearningRadiology.com is an award-winning educational site aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of case quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, cardiac, and bone radiology.
