AUTHOR=Dulguerov Pavel , Alotaibi Naif H. , Lambert Stephanie , Dulguerov Nicolas , Becker Minerva 

TITLE=Open Maximal Mucosa-Sparing Functional Total Laryngectomy

JOURNAL=Frontiers in Surgery

VOLUME=4

YEAR=2017

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2017.00060

DOI=10.3389/fsurg.2017.00060

ISSN=2296-875X

ABSTRACT=<sec id="ST1"><title>Background</title><p>Total laryngectomy after (chemo)radiotherapy is associated with a high incidence of fistula and therefore flaps are advocated. The description of a transoral robotic total laryngectomy prompted us to develop similar minimally invasive open approaches for functional total laryngectomy.</p></sec><sec id="ST2"><title>Methods</title><p>A retrospective study of consecutive unselected patients with a dysfunctional larynx after (chemo)radiation that underwent open maximal mucosal-sparing functional total laryngectomy (MMSTL) between 2014 and 2016 is presented. The surgical technique is described, and the complications and functional outcome are reviewed.</p></sec><sec id="ST3"><title>Results</title><p>The cohorts included 10 patients who underwent open MMSTL. No pedicled flap was used. Only one postoperative fistula was noted (10%). All patients resumed oral diet and experienced a functional tracheo-esophageal voice.</p></sec><sec id="ST4"><title>Conclusion</title><p>MMSTL could be used to perform functional total laryngectomy without a robot and with minimal incidence of complications.</p></sec>