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Platysma skin flap: Laryngeal repair material to produce phonatory flap vibrational wave
Authors:Ling Chen  Renhui Chen  Zhong Guan  Peiliang Lin  Faya Liang  Ping Han  Jinshan Yang  Wenying Zhu  Qian Cai
Abstract:
The platysma skin flap was used for laryngeal reconstruction after vertical partial laryngectomy to improve the postoperative voice quality of patients with T2 and T3 glottic laryngeal carcinoma. Sixty‐nine patients with unilateral T2 and T3 glottic laryngeal carcinoma were included. Forty‐six patients received vertical partial laryngectomy, and a platysma skin flap was used for laryngeal reconstruction. The other 23 patients underwent transoral laser microsurgery. Subjective and objective examinations were performed to evaluate laryngeal morphology after the surgery. Acceptable voice quality was achieved for 46 patients who underwent vertical partial laryngectomy. Flap vibrational waves occurred in 19 cases (41.3%). The platysma skin flap is an ideal tissue for the reconstruction of articulation structure in open surgery of T2 and T3 unilateral glottic laryngeal carcinoma.
Keywords:flap vibrational wave  laryngeal carcinoma  laryngeal reconstruction  platysma skin flap  vocal function
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