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Thyroid cartilage flap reconstruction of the larynx following vertical partial laryngectomy: A preliminary report in two patients
Author(s) -
Burgess Lawrence P. A.,
Quilligan Jay J.,
Yim Donald W. S.
Publication year - 1985
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198510000-00021
Subject(s) - thyroid cartilage , perichondrium , medicine , chondritis , larynx , arytenoid cartilage , surgery , cartilage , thyroid , laryngectomy , blood supply , phonation , atrophy , soft tissue , anatomy , pathology , relapsing polychondritis , audiology
Reconstruction of the larynx following vertical partial laryngectomy may be undertaken with many techniques. Methods using soft tissue employ readily accessible structures within the operative field with straight forward reconstructive designs. However, decannulation is often delayed, and variable degrees of atrophy must be planned for. Methods using cartilage may lead to early decannulation without long‐term atrophy as a problem. However, grafts or flaps are less accessible, and reconstructive designs are often complex. In addition, chondritis may be a significant problem, especially in radiated patients. A supraglottic thyroid cartilage flap is described that is readily accessible and maintains its blood supply from external and internal perichondrium, as well as internal mucosa. Its use is reserved for unilateral glottic lesions without supraglottic spread. Experience with this technique is described in two patients.