Modified technique of functional vertical hemilaryngectomy for cancer invading 1 hemicricoid

Background Partial laryngectomy techniques are challenging, especially in young patients where function has to be preserved without compromising the oncologic outcome. We present a modified laryngectomy technique indicated for tumors invading one hemicricoid. Methods Vertical hemilaryngectomy with reconstruction of neo‐glottis by hemi trachea and placement of an endolaryngeal silicon prosthesis for a 21‐y old female patient presenting with a synovial sarcoma located on the left arytenoid area. Results The prosthesis was removed at 6 w with tracheotomy closure at 8w post‐op. Patient underwent adjuvant radiotherapy. Functional outcome showed good swallowing without aspiration. Voice was hoarse. At 5 years post‐op the patient is free of recurrence presenting only mild dyspnea upon effort. Conclusion Vertical hemilaryngectomy including a hemicricoid is feasible with single stage reconstruction by a hemi‐trachea of 4 to 5 rings intussuscepted into the thyroid cartilage. The functional outcome is good considering oncologic safety and avoidance of a permanent tracheostomy. © 2016 Wiley Periodicals, Inc. Head Neck 38 : 1708–1716, 2016