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Laryngeal cancer with invasion of soft tissues of the neck including the skin is staged as T4a disease according to the TNM classification by the AJCC in 2010. The traditional treatment for this locally advanced disease is through total laryngectomy and en-bloc removal of the involved cervical skin followed by reconstruction by one of the regional flaps. In this study, we present our experience with the use of two regional flaps, namely, the pectoralis major myocutaneous flap and the deltopectoral flap, for reconstruction of T4a laryngeal cancer infiltrating the cervical skin. Patients and methods A total of 11 patients were included in the study during the period from January 2013 to October 2016. Ours was a retrospective analytic study that included analysis of the preoperative, operative, postoperative, and follow-up patient data. Results Both flaps proved to be versatile for reconstruction of the locally advanced cancer larynx and provided a simple alternative for the more complex free flap surgery.

The role of regional flaps in locally advanced cancer larynx with skin invasion