Question:

A 75-year-old male smoker presents with hoarseness of voice and difficulty in swallowing. He has been diagnosed with large advanced SCC and undergoes surgery. What is the most appropriate surgical procedure?

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Large advanced laryngeal carcinoma often requires total laryngectomy.
Updated On: Aug 27, 2026
  • Total laryngectomy
  • Partial laryngectomy
  • Percutaneous tracheostomy
  • Standard tracheostomy
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The Correct Option is A

Solution and Explanation

Concept: Advanced laryngeal squamous cell carcinoma may require total laryngectomy, especially when the tumor is large and organ preservation is not suitable.

Step 1:
Identify disease.
The patient has: \[ \text{Large advanced SCC of larynx} \]

Step 2:
Assess surgical need.
Advanced tumors often require complete removal of the larynx.

Step 3:
Choose procedure.
The appropriate surgery is: \[ \text{Total laryngectomy} \]
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