[The use of platysmal myocutaneous flaps in laryngeal reconstruction]

Vertical frontal subtotal laryngectomy, a procedure that can remove as much as 90% of the larynx, was used to produce a functionally acceptable neolarynx with platysmal myocutaneous flaps. Thirty-two patients with laryngeal carcinoma underwent this operation. All flaps survived and there was no necrosis after operation. With the exception of one patient who require nasal feeding because of an irritating cough when swallowing food, all the other patients regain breathing, swallowing and phonating of laryngeal function. The operative methods, advantages and experiences are discussed in this paper.