Glottic reconstruction after near total laryngectomy

Area of Science:

• Otolaryngology
• Surgical Oncology

Background:

• Vertical partial laryngectomy is a standard treatment for glottic carcinomas.
• Existing reconstructive techniques present challenges, including prolonged tracheostomy and suboptimal airway outcomes.

Purpose of the Study:

• To review and discuss reconstructive techniques following extended vertical partial laryngectomy.
• To highlight the limitations of current reconstructive methods.

Main Methods:

• Literature review of various reconstructive techniques.
• Discussion of outcomes associated with different surgical approaches.

Main Results:

• Commonly used methods include stents, keels, soft tissue grafts, and muscle transplants.
• These techniques frequently necessitate prolonged tracheostomy and staged procedures.

Conclusions:

• Current reconstructive strategies for vertical partial laryngectomy can result in less than satisfactory upper airway function.
• Further advancements in reconstruction are needed to improve patient outcomes.