Abstract
A new larynx could successfully be reconstructed immediately after total laryngectomy.
The postoperative voice was as good as in Asai's laryngoplasty. The aspiration was negligible. The operative techniques are summarized as follows:
1. The lateral halves of the thyroid laminae are preserved on the both sides.
2. The posterior laryngeal wall is formed utilizing the superior horns.
3. The inner surface of the new larynx is covered with the hypopharyngeal mucosal flaps.
4. The reconstructed larynx is fixed closely to the lingual basis.
In eight cases with extended laryngeal cancer, the primary laryngoplasy was performed. Post-operatively, in three of them, a protracted local healing was seen due to the development of a pharyngeal fistula. All of them restored their voice and fair degultition.
