Larynx Cancer: Reconstructive Options

Otolaryngol Clin North Am. 2023 Apr;56(2):333-343. doi: 10.1016/j.otc.2022.11.002.

Abstract

Reconstruction for laryngeal cancer will depend on the defect left by surgical resection and patient-related factors such as medical comorbidities and history of previous radiation treatment. The goals of reconstruction are to preserve and/or restore the primary functions of the larynx (breathing, swallowing, voicing). Options include primary closure, locoregional flaps, and microvascular free tissue each with their advantages and disadvantages, which should be considered when planning reconstruction.

Keywords: Functional results; Laryngeal cancer; Laryngeal reconstruction; Laryngectomy; Microvascular reconstruction; Outcomes; Pedicled flap; Salvage surgery.

Publication types

  • Review

MeSH terms

  • Deglutition
  • Humans
  • Laryngeal Neoplasms* / surgery
  • Laryngectomy
  • Larynx* / surgery
  • Surgical Flaps