Reconstructive Surgery After Total Laryngectomy

In the last few years various techniques have been developed with the aim of reconstructiveprocedure after total laryngectomy. Among these techniques, subtotal or totallaryngectomy with cricohyoidopexia or tracheohyoidopexia was discussed. In our clinic, 7patients underwent laryngectomy with crico- or tracheohyoidopexia. Out of the 7 cases, two patients underwent a second operation, because they had not recovered normalswallowing. In all the patients, it was impossible to respire through the natural route.Phonatory function, on the contrary, was satisfactory and voice was excellent. To solvesome problems of the postoperative function, technical modifications were proposed.