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The use of pyriform sinus mucosa for reconstruction after vertical partial laryngectomy

Published online by Cambridge University Press:  29 June 2007

M. A. Salam*
Affiliation:
The Department of Otolaryngology and Head and Neck Surgery, Ain-Shams University Hospital, Cairo, Egypt
M. El-Kahky
Affiliation:
The Department of Otolaryngology and Head and Neck Surgery, Ain-Shams University Hospital, Cairo, Egypt
H. El-Mehiry
Affiliation:
The Department of Otolaryngology and Head and Neck Surgery, Ain-Shams University Hospital, Cairo, Egypt
*
Mr M. A. Salam, 18 Arundel Close, Warwick, Warwickshire CV34 5HZ

Abstract

This prospective study included 30 patients with glottic carcinoma of the larynx who were treated primarily by vertical partial laryngectomy. The pyriform sinus mucosa was used to reconstruct the new laryngeal wall and to form a pseudo-vocal fold at the side of resection. Our results showed that 90 per cent of patients were decannulated, 80 per cent were able to eat a normal diet, 70 per cent developed excellent voice quality after surgery and a 97 per cent three-year survival was achieved. The pyriform sinus mucosa proved to be a reliable material for reconstruction after vertical partial laryngectomy.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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References

Blaugrund, S., Kurland, S. (1975) Arytenoid replacement following hemilaryngectomy. Laryngoscope, 85: 935938.CrossRefGoogle ScholarPubMed
Burgess, L. P. (1988) Thyroid cartilage flap reconstruction of the larynx following vertical partial laryngectomy: An interim report. Laryngoscope, 98: 605607.CrossRefGoogle ScholarPubMed
Conley, J. J. (1961) Glottic reconstruction and wound rehabilitation procedures in partial laryngectomy. Archives of Otolaryngology, 74: 224.Google ScholarPubMed
Dedo, H. H. (1975) A technique for vertical hemilaryngectomy to prevent stenosis and aspiration. Laryngoscope, 85: 978982.CrossRefGoogle Scholar
Figi, F. A. (1950) Removal of carcinoma of the larynx with immediate skin graft for repair. Annals of Otology, Rhinology and Laryngology, 59: 474479.CrossRefGoogle ScholarPubMed
Goodyear, H. M. (1949) Hemilaryngectomy: method of maintaining a satisfactory airway and voice. Annals of Otology, Rhinology and Laryngology, 58: 581585.CrossRefGoogle ScholarPubMed
Krajina, Z. (1985) Extent of partial laryngectomies. Acta Otolaryngologica, 99: 224226.CrossRefGoogle ScholarPubMed
Krajina, Z. (1990) Vertical partial laryngectomy on demand. Journal of Laryngology and Otology, 104: 879882.CrossRefGoogle ScholarPubMed
Ogura, J. H., Dedo, H. H. (1965) Glottic reconstruction following subtotal glottic-supraglottic laryngectomy. Laryngoscope, 75: 865878.CrossRefGoogle ScholarPubMed
Maceri, D. R., Lampe, H. B., MaKielsk, R. H. (1985) Conservation laryngeal surgery. Archives of Otolaryngology, 111: 361365.CrossRefGoogle ScholarPubMed
Pressman, J. J. (1954) Cancer of the larynx: Laryngoplasty to avoid laryngectomy. Archives of Otolaryngology, 95: 395412.CrossRefGoogle Scholar
Quinn, H. J. (1975) Free muscle transplant method of glottic reconstruction after hemilaryngectomy. Laryngoscope, 85: 985988.CrossRefGoogle ScholarPubMed
Rothfield, R. E., Johnson, J. T., Myers, E. N., Wagner, R. (1989) The role of hemilaryngectomy in the management of T1 vocal cord cancer. Archives of Otolaryngology, 115: 667680.Google ScholarPubMed
Silver, C. E. (1981) Surgical anatomy of the larynx, 1st edn., Churchill Livingstone, New York, p. 83.Google Scholar
Som, M. L. (1951) Hemilaryngectomy: a modified technique for cordal carcinoma with extension posteriorly. Archives of Otolaryngology, 54: 524533.CrossRefGoogle Scholar