VERTICAL PARTIAL LARYNGECTOMY WITH PLATYSMA MYOCUTANEOUS FLAP RECONSTRUCTION AT CHO RAY HOSPITAL
Main Article Content
Abstract
Background: Laryngeal reconstruction following partial laryngectomy plays an important role in restoring laryngeal anatomy and physiological function. The platysma myocutaneous flap is a local reconstructive technique that is technically feasible and suitable for routine clinical practice.
Objective: To evaluate the effectiveness of platysma skin flap for laryngeal reconstruction following partial laryngectomy.
Materials and Methods: A prospective descriptive case series was conducted on patients with T1–T3 laryngeal cancer who underwent partial laryngectomy with reconstruction using a platysma myocutaneous flap at Cho Ray Hospital betweeb 2021 and 2025. Postoperative complications and functional outcomes, including airway, swallowing, and voice function, were assessed during follow-up.
Results: Thirty-three patients were included. All patients were successfully decannulated with a median time of 12 days, and oral feeding was resumed after a median of 7 days. Flap survival was achieved in all cases without total necrosis. Postoperative complications included cervicothoracic emphysema (n=3) and laryngocutaneous fistula (n=2), both managed successfully. During follow-up, two patients developed local recurrence and underwent salvage total laryngectomy. Swallowing function recovered well in most patients, and voice quality gradually improved during follow-up.
Conclusions: Platysma skin flap reconstruction is a safe and effective method in partial laryngectomy for early-stage laryngeal cancer, providing favorable reconstructive outcomes with a low complication rate.
Keywords
partial laryngectomy, platysma myocutaneous flap, laryngeal reconstruction, laryngeal cancer
Article Details
References
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