ABSTRACT
The paper describes improved fronto-anterior reconstructive laryngectomy using liberated specifically pediculated and lowered glottis to replace the removed anterior segment of the thyroid cartilage. The very technique as well as its advantages are discussed. The main advantage of the method is that it makes use of the pediculates, well vasculated glottal cartilage covered with cilliar epithelium preserving the physiological direction of the cilliar movement. The cartillage is significantly thicker than the free nasal septum cartilage transplant used until recently. Post-operative discomfort is manifested by temporary difficulties in swallowing connected with the covered glottis. The procedure is technically uncomplicated, the vasculated cartilage heals very well and the respiratory and phoniatric effects are satisfactory.
