Open Maximal Mucosa-Sparing Functional Total Laryngectomy.

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Open Maximal Mucosa-Sparing Functional Total Laryngectomy.

Front Surg. 2017;4:60

Authors: Dulguerov P, Alotaibi NH, Lambert S, Dulguerov N, Becker M

Abstract
BACKGROUND: Total laryngectomy after (chemo)radiotherapy is associated with a high incidence of fistula and therefore flaps are advocated. The description of a transoral robotic total laryngectomy prompted us to develop similar minimally invasive open approaches for functional total laryngectomy.
METHODS: A retrospective study of consecutive unselected patients with a dysfunctional larynx after (chemo)radiation that underwent open maximal mucosal-sparing functional total laryngectomy (MMSTL) between 2014 and 2016 is presented. The surgical technique is described, and the complications and functional outcome are reviewed.
RESULTS: The cohorts included 10 patients who underwent open MMSTL. No pedicled flap was used. Only one postoperative fistula was noted (10%). All patients resumed oral diet and experienced a functional tracheo-esophageal voice.
CONCLUSION: MMSTL could be used to perform functional total laryngectomy without a robot and with minimal incidence of complications.

PMID: 29075632 [PubMed]

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