Experiences with Vertical Partial Laryngectomy with Special Reference to Laryngeal Reconstruction by Sternohyoid Fascia

Abstract

Between 1955 and 1960 at the Department of Otorhinolaryngology, University of Zagreb, vertical partial laryngectomy was performed for small glottic tumors. The endolaryngeal defect was covered by Thiersch grafts, but the functional results were disappointing. After 1960 the hypopharyngeal mucosa was used in smaller vertical procedures. Again we were not satisfied by the reconstructed larynx. Since 1969 the use of either the superficial or medial cervical fascia was introduced, while in recent years we have combined both layers of fascia for the reconstruction of the inner laryngeal surface. There is always material enough to cover even large defects. This is essential for the prevention of stenosis and disturbed respiration. The fascia has also proven to be resistant to infections and to maceration by saliva.