A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy

• Published in: GMS. Interdisciplinary plastic and reconstructive surgery DGPW Vol. 2; p. Doc14
• Main Authors: Lorenz, Kai J, Kohnle, Roland, Maier, Heinz
• Format: Journal Article
• Language: English
• Published: Germany German Medical Science GMS Publishing House 2013
• Subjects: laser cordectomy; partial laryngectomy; quality of life; voice quality; partial laryngectomy; laser cordectomy; voice quality; quality of life
• ISSN: 2193-8091; 2193-8091
• DOI: 10.3205/iprs000034

To describe a modified flap technique (MFT) involving the use of a false vocal fold flap for glottic reconstruction and the removal of arytenoid cartilage and to compare it with conventional frontolateral partial laryngectomy (FLPL) and laser cordectomy (LC).
Twenty-eight MFT, 13 FLPL and 12 LC patients completed a standardised questionnaire for assessing aspiration, respiration, quality of life, and subjective voice quality. We analysed vocal function in terms of roughness, breathiness and hoarseness, measured voice range profiles, and performed videoendoscopy.
No patient reported respiratory problems. Aspiration occurred in 33.3% (MFT), 41.6% (FLPL) and 16.6% (LC). Voice quality was rated as good/satisfactory by 17 MFT patients (62%), satisfactory/sufficient by 69% of FLKT patients, and sufficient/poor by 75% of LC patients.
The modified false vocal fold flap effectively covers defects and creates a neocord that ensures good phonatory rehabilitation and has positive effects on postoperative quality of life.