[Partial vertical laryngectomies: reconstruction with a platysma myocutaneous flap]

Partial vertical laryngectomies have been performed successfully for nearly one century. Hemilaryngectomies may present more evidence of difficulties and complications and both can be controlled with reconstructive methods. Thus, the authors present 6 patients with T1 and T2 glottic tumors submitted to hemilaryngectomy (5 cases) and to frontolateral laryngectomy (1 case) reconstructed with platysma myocutaneous flap. The oncologic and functional results were analyzed for follow-up from 2 to 5 years. Observation was made of time for decanulization, start of swallowing, presence of oro-tracheal. aspiration, vocal quality (roughness, breathiness, and inteligillity), physical activity, and complications. The authors conclude that such a method does not affect oncologic results and represents an adequate support to the organ, facilitating amplified resections.