A group of panelists discussed the intricacies of laryngeal reconstruction after prior radiation and surgery during a session held at the Triological Society Sections Meeting. The speakers covered when to attempt surgery, when to avoid it, and special techniques to use, offering up a slate of expert guidance for these tough cases.
Explore this issue:March 2016
Panel moderator Peak Woo, MD, clinical professor of otolaryngology at Mount Sinai Hospital in New York City, said the challenge of laryngeal reconstruction lies in restoring both form and function to a complex structure. “If one restores only one, then one is lacking,” he said. “If one only restores the form, as in [a] good airway, then you have aphonia. If you only restore the function, as in vibration, then you have laryngeal stenosis.”
He harkened back to a 1985 description, which held that the “ideal method” would involve using tissue that is native to the area, highly viable, convenient for the surgeon, and expendable to the patient (Ann Otol Rhinol Laryngol. 1985;94:437-441).