This report describes the step-by-step surgical technique of Bocca's hemipharyngo-total laryngectomy for right pyriform sinus squamous cell carcinoma in an elderly patient with significant comorbidities. The procedure allowed oncologically radical resection with immediate neohypopharyngeal reconstruction using the preserved hemilaryngeal mucosa, avoiding flap reconstruction. Bocca's technique represents a valuable option in carefully selected cases, providing adequate functional outcomes while reducing operative complexity.
Mattioli et al. (Fri,) studied this question.