How effective is tumour removal surgery for voice box cancer?

The voice box, or larynx, supports breathing, voice and protection of the airway during swallowing. A smaller tumour may be treated with an operation that preserves part of the larynx, while more extensive disease may require removal of more tissue. The surgeon plans around the tumour’s position and movement of the vocal cords, and may assess lymph nodes in the neck.

Pathology confirms the tumour type and whether the edges are clear. Radiotherapy or other treatment may be recommended after surgery when the tissue findings or extent of disease call for more control. Voice and swallowing rehabilitation are part of the recovery plan.

Discuss whether the aim is voice preservation, cancer control, airway safety or a combination. Ask about temporary or lasting changes to speech, swallowing and breathing, including whether a breathing tube or alternative voice method could be needed. Stop or reduce smoking with support, follow nutrition advice and attend speech and swallowing therapy.

Report increasing neck swelling, fever, worsening wound pain, bleeding, coughing during drinks or inability to manage secretions. Seek emergency help for sudden breathing difficulty, blue lips, heavy bleeding or rapidly worsening swelling of the neck.

Where is the tumour in my larynx? Can part of the voice box be preserved? How will my voice, swallowing and airway be supported? Will neck surgery or treatment after the operation be needed?