Elsevier

American Journal of Otolaryngology

Volume 11, Issue 5, September–October 1990, Pages 328-331
American Journal of Otolaryngology

Original contribution
Thyroid gland flap for glottic reconstruction after vertical laryngectomy

https://doi.org/10.1016/0196-0709(90)90063-2Get rights and content

Abstract

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.

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Cited by (15)

  • Thyroid gland flap minimizes mucosal defects at supracricoid partial laryngectomy with cricohyoidoepiglottopexy

    2020, Auris Nasus Larynx
    Citation Excerpt :

    A case series described the use of buccal fat augmentation to solve this problem [7]. Thus, TF transfer may be effective for minimizing mucosal defects and improving wound healing during CHEP, especially after radiation therapy failure, although TF transfer was initially used to reconstruct vocal cords to preserve laryngeal function during vertical partial laryngectomy [8]. This is just one case experience, and to prove the clinical significance of TF requires further clinical investigation or evidence.

  • Free-prefabricated auricular composite graft: A new method for reconstruction following extended hemilaryngectomy

    2005, British Journal of Plastic Surgery
    Citation Excerpt :

    Friedman et al.1 proposed three requirements for sphincteral and phonatory functions: preservation of at least one mobile arytenoid, preservation or restoration of posterior glottic area to prevent aspiration, and the maintenance of a satisfactory diameter of the anteroposterior glottic remnant to preserve an adequate airway and phonation. Mucosa,2 skin,3 muscle,4 composite nasal septal cartilage,5 and thyroid gland6 flaps are reconstructive techniques after vertical partial laryngectomy. These flaps have been described as providing better postoperative voice and deglutition.

  • Extended partial laryngectomy with functional preservation using the rotational crico-thyrotracheopexy

    2023, Laryngoscope Investigative Otolaryngology

  • Thyroid Gland Flap for Prevention of Pharyngocutaneous Fistula After Total Laryngectomy

    2022, Ear, Nose and Throat Journal

  • Thyroid Surgery: Whose Domain Is It?

    2019, Advances in Therapy

  • Laryngeal framework regeneration

    2015, Regenerative Medicine in Otolaryngology
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