Laryngeal reconstruction by free flap transfer

Area of Science:

• Surgical Oncology
• Microsurgery
• Otolaryngology

Background:

• Head and neck cancer surgery often requires extensive resection, leading to functional deficits.
• Laryngeal reconstruction presents challenges in restoring airway patency and voice quality.

Observation:

• Two cases of laryngeal cavity reconstruction using free flaps with microvascular anastomoses are reported.
• The revascularized free flaps were crucial for maintaining a patent airway.

Findings:

• Successful reconstruction of the laryngeal cavity was achieved in both cases.
• The free flaps significantly contributed to preserving an appreciable voice quality.
• Microvascular anastomoses ensured the viability of the revascularized tissue.

Implications:

• These findings suggest that free flap reconstruction is a viable option for laryngeal defects.
• The technique holds potential for broader application in post-cancer head and neck reconstruction.
• Further research is warranted to expand the use of free flaps in complex oncologic cases.