Composite nasal septal grafts provide excellent autogenous replacement tissue for the partial laryngectomy defect. The added factor of a mucosa similar to that removed appears advantageous for preservation of the airway. Arytenoid preservation or replacement tends to improve glottic rehabilitation by pseudocord formation. It is believed that the composite nasal septal graft would be of special advantage in the patient who had received previous irradiation.
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Duncavage et al. (1978) studied this question.
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