Laryngeal reconstruction by platysma myofascial flap after vertical partial laryngectomy

Background. Many methods of glottic reconstruction have been described for patients undergoing vertical partial laryngectomy to reestablish the glottic integrity. Methods. Fifteen patients with T2 squamous cell carcinoma of the glottis were included in this prospective clinical trial. All patients w...

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Bibliographic Details
Published in:Head & neck 2005-09, Vol.27 (9), p.762-770
Main Authors: Dursun, Gursel, Ozgursoy, Ozan Bagis
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Fascia - transplantation
glottic carcinoma
Humans
Intubation, Gastrointestinal
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Laryngoscopy
Male
Medical sciences
Middle Aged
myofascial flap
Neck Muscles - blood supply
Neck Muscles - transplantation
Otorhinolaryngology. Stomatology
Parenteral Nutrition
platysma
Prospective Studies
Surgical Flaps
Thyroid Cartilage - surgery
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
vertical partial laryngectomy
vocal function
Voice Quality
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Summary:Background. Many methods of glottic reconstruction have been described for patients undergoing vertical partial laryngectomy to reestablish the glottic integrity. Methods. Fifteen patients with T2 squamous cell carcinoma of the glottis were included in this prospective clinical trial. All patients were treated by vertical partial laryngectomy with laryngeal reconstruction by platysma myofascial flap. The surgical procedure and flap design were described. Vocal function was assessed by videolaryngostroboscopy and subjective and objective voice analysis before and after surgery. Results. Complete neoglottic closure and acceptable voice quality were obtained by platysma myofascial flap in all cases. No statistically significant difference was found between the preoperative and postoperative acoustic parameters. Conclusions. Platysma myofascial flap provides the basic requirements for laryngeal reconstruction with its own favorable characteristics and also allows complete glottic closure without interfering with respiration and deglutition. This technique may be an effective alternative achieving an acceptable quality of voice. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.20241