An Experience with Auricular Free Flap Epiglottis Reconstruction after Supraglottic Laryngectomy

 

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A total laryngectomy was once the treatment of choice in the majority of patients with laryngeal cancer. Horizontal partial laryngectomy has recently become an option for supraglottic tumors. This approach theoretically preserves both the voice and swallowing function. Surgical reconstruction after partial laryngectomy remains a challenge because of the high risk of postoperative complications such as aspiration and abnormal swallowing.[1] Primary closure or local techniques lead to a high risk of chronic food aspiration and pulmonary damage in up to 80% of the patients.[2]

An ideal method for the reconstruction of the entire epiglottis and part of the tongue base would utilize tissues that are native to the area, highly viable, convenient to the surgeon, and expendable to the patient. This tissue should be a composite containing both epithelium and skeletal support. Here, we describe the surgical procedure for reconstructing the epiglottis.

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