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If a doctor thinks that other options, such as radiation therapy or larynx-preserving surgeries, will be ineffective for treating cancer, they may perform a To perform a laryngectomy, a surgeon will: insert a tube down the throat to help the person breathe insert a nasogastric tube into the nose to provide food and liquids during the surgery and a catheter to drain urine make an incision above the Adams apple and remove the necessary tissue create a small opening, known as a stoma, to allow a person to breathe directly through this opening Before a person leaves the hospital, they will receive information about the stoma and how to care for it