Abstract
A 75-year-old man developed severe hoarseness following laser cordectomy for glottic cancer. The left vocal cord was deficient and scar formation was found at the anterior commissure extending to the subglottis. The right vocal cord was atrophic. His voice was quite breathy because of these laryngeal deformities.
We employed two surgical procedures. First, we applied the omohyoid muscle flap for the reconstruction of the vocal cord bulging on the left. In the second step, thyroplasty type I was performed on both sides. After the surgeries, the maximum phonation time was prolonged from 3 sec to 10 sec and the breathy voice was remarkably improved.
For the treatment of glottic insufficiency after cordectomy, it is most important to examine the laryngeal findings carefully and choose a suitable surgical method.
