Thyroid gland flap for glottic reconstruction after vertical laryngectomy.
A thyroid gland flap was devised and applied in five cases of vertical partial laryngectomy to correct the laryngeal defect. The upper pole of the thyroid gland, dissected along with the superior thyroid artery and vein, was placed in the wound after removal of the tumor to compensate for the loss of bulk, and relined using a cervical skin flap. Good phonatory function was obtained without any disturbance of respiration or deglutition. The thyroid gland flap was adjustable to the size of the defect and easily placed in the larynx. Follow-up study for 6 to 18 months after the surgery revealed that the flap was less likely to shrink than the other flaps because of its abundant blood supply.
Kojima
H
H
Department of Otolaryngology, Faculty of Medicine, Kyoto University, Japan.
Omori
K
K
Fujita
A
A
Nonomura
M
M
D000368:Aged; D005931:Glottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D013524:Surgical Flaps; D013961:Thyroid Gland / Q000637:transplantation*