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Thyroid gland flap for glottic reconstruction after vertical laryngectomy
1Department of Otolaryngology, Faculty of Medicine, Kyoto University, Japan.
American Journal of Otolaryngology
|September 1, 1990
Summary
A novel thyroid gland flap technique was used in vertical partial laryngectomy cases. This method effectively reconstructed the larynx, preserving voice and function without impacting breathing or swallowing.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Regenerative Medicine
Background:
- Vertical partial laryngectomy requires reconstruction to restore laryngeal function.
- Existing flap methods for laryngeal defect repair have limitations.
- The thyroid gland's vascularity and bulk make it a potential reconstructive option.
Observation:
- A thyroid gland flap, including the superior thyroid artery and vein, was utilized in five patients undergoing vertical partial laryngectomy.
- The flap was used to reconstruct the laryngeal defect post-tumor removal and covered with a cervical skin flap.
- Surgical outcomes were monitored for 6 to 18 months.
Findings:
- The thyroid gland flap successfully corrected laryngeal defects, yielding good phonatory function.
- No adverse effects on respiration or deglutition were observed.
- The flap demonstrated minimal shrinkage due to its robust blood supply, proving adaptable and easy to position.
Implications:
- This thyroid gland flap technique offers a viable and effective method for laryngeal reconstruction after vertical partial laryngectomy.
- The flap's inherent vascularity ensures durability and reduces the risk of contracture compared to other reconstructive options.
- This approach may improve functional outcomes and patient quality of life following laryngeal cancer surgery.