The method of closure of the partial laryngopharyngectomy (PLP) defect can have a profound affect on all three functions of the larynx: airway maintenance, airway protection during swallow, and phonation. This article considers both flap and nonflap techniques as they are applied to the extended PLP with removal of a portion of one vocal fold. Modifications of some previously published techniques are discussed. Results from 6 patients who underwent extended PLP with radial forearm free-flap reconstruction are presented. The procedure appears to be oncologically safe and to offer some advantages over earlier methods for treating this problem.
|Number of pages||6|
|Journal||Operative Techniques in Otolaryngology - Head and Neck Surgery|
|State||Published - Jun 1 2000|