[Surgery of the larynx with fibrinous tissue glue (author's transl)]

A mucosa-muscle flap is formed by an incision on the level of the equilateral vestibular fold during an endoscopic lateral cordopexy of a paralysed vocal cord. The resulting small cavity allows parts of the arytenoid cartilage and of the vocal muscle to be removed. The mucosa-muscle flap is fixed firmly to the lateral part of the cavity by tissue glue; the mucosal incision on the vestibular fold is sealed by tissue glue too. Frontolateral partial resection of the larynx in cases of unilateral tumors of the vocal cords may be extended by additional resection of the arytenoid cartilage and the posterior part of the vocal cord. Restricted mobility of the vocal cord caused by infiltration of the tumor into the interior laryngeal muscles should be a contraindication for this operation. The resulting defect-- including the former region of the true and false vocal cords with the anterior commissure--is covered by a movable mucosa flap taken from the aryepiglottidean fold and from the entrance of the piriform sinus. The flap is fixed by tissue glue. The wound lips are sealed by tissue glue as well. A postoperative tamponade is not necessary. By using tissue glue, both operations will be done easier, quicker, safer, and last but not least more convenient for the patient.