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Platysma skin flap: Laryngeal repair material to produce phonatory flap vibrational wave
Author(s) -
Chen Ling,
Chen Renhui,
Guan Zhong,
Lin Peiliang,
Liang Faya,
Han Ping,
Yang Jinshan,
Zhu Wenying,
Cai Qian
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26294
Subject(s) - medicine , laryngectomy , surgery , transoral laser microsurgery , laryngeal neoplasm , glottis , larynx , articulation (sociology) , carcinoma , politics , political science , law
The platysma skin flap was used for laryngeal reconstruction after vertical partial laryngectomy to improve the postoperative voice quality of patients with T2 and T3 glottic laryngeal carcinoma. Sixty‐nine patients with unilateral T2 and T3 glottic laryngeal carcinoma were included. Forty‐six patients received vertical partial laryngectomy, and a platysma skin flap was used for laryngeal reconstruction. The other 23 patients underwent transoral laser microsurgery. Subjective and objective examinations were performed to evaluate laryngeal morphology after the surgery. Acceptable voice quality was achieved for 46 patients who underwent vertical partial laryngectomy. Flap vibrational waves occurred in 19 cases (41.3%). The platysma skin flap is an ideal tissue for the reconstruction of articulation structure in open surgery of T2 and T3 unilateral glottic laryngeal carcinoma.