Computed tomography evaluation of the nasal septal reconstructed larynx

Computed tomography (CT) of the larynx was performed in 15 patients who had their larynx reconstructed by composite nasal septal autograft after frontal, or frontolateral laryngectomy. Five representative cases each with CT scan and additional laryngoscopic documentation are presented. The CT permitted a detailed appraisal of the nasal septal grafted larynx. Our attention was directed to the image of the graft in what concerned its patterns of distortion, fibrosis or chondrification, and width of the laryngeal airway. The scan from 10 patients brought radiographic evidence that the implanted cartilage retained vitality and structural integrity.