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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

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Smuggling counteracts the positive effects of limiting local demand as illicit products tend to be more harmful to consumers, are sold to minors, and cost governments billions of dollars in lost tax revenue