What is typically removed during a total laryngectomy?

During a total laryngectomy, the entire larynx is surgically removed along with the hyoid bone. This procedure is performed to treat conditions such as laryngeal cancer. The removal of the larynx results in the patient losing their natural voice, and they will need to learn new methods of speech production, such as using an electrolarynx or esophageal speech. Additionally, the hyoid bone's removal is crucial since it is attached to the larynx and plays a role in the positioning and function of the laryngeal structures. This comprehensive removal affects airway management and swallowing, resulting in important physiological changes that require adjustment in the patient's care and rehabilitation.