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


METHODS
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.


RESULTS
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.


CONCLUSIONS
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.
Department of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital of Ulm, Ulm, Germany.
Kai J
KJ
Lorenz
Department of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital of Ulm, Ulm, Germany.
Roland
R
Kohnle
Department of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital of Ulm, Ulm, Germany.
Heinz
H
Maier
laser cordectomy; partial laryngectomy; quality of life; voice quality