title: Case of partial vertical laryngectomy with vocal cord reconstruction using a thyroid gland flap.
abstract: BACKGROUND
  To preserve laryngeal function in early-stage laryngeal cancer, chemotherapy and radiotherapy are performed more often than surgery as initial treatment. However, in recurrent cases, complex salvage surgery is often required as patients who received aggressive chemoradiotherapy are susceptible to postoperative complications. We report here salvage therapy that preserved laryngeal function in a recurrent case.
  
  
  METHODS
  A 52-year-old man with recurrent laryngeal cancer (rT2N0M0) after chemoradiotherapy and followed by induction chemotherapy underwent partial vertical laryngectomy and right vocal cord reconstruction with a thyroid flap.
  
  
  RESULTS
  Laryngeal functions were successfully preserved and the patient was discharged 2 months after surgery.
  
  
  CONCLUSIONS
  The number of salvage surgeries performed after high-dose chemotherapy and radiation is expected to increase in the future. A thyroid gland flap promises to be an effective treatment option for vocal cord reconstruction especially for patients at high risk of postchemoradiotherapy complications.
authors.affiliation: Department of Otorhinolaryngology, Aichi Medical University School of Medicine, Aichi, Japan.
authors.forename: Atsuhiko
authors.initials: A
authors.lastname: Ikeda
authors.forename: Hiroki
authors.initials: H
authors.lastname: Okamoto
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Tsuchiya
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Nishimura
authors.forename: Hiromi
authors.initials: H
authors.lastname: Ueda
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ogawa
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016879:Salvage Therapy; D000077195:Squamous Cell Carcinoma of Head and Neck; D013524:Surgical Flaps; D013961:Thyroid Gland / Q000601:surgery*; D016896:Treatment Outcome; D014827:Vocal Cords / Q000601:surgery*
keywords: functional preservation operation; partial vertical laryngectomy; salvage surgery; thyroid gland flap; vocal cord reconstruction