Abstract
The surgical treatment of a glottic cancer with fixation of the vocal fold (stage T3) usually consists of a total laryngectomy. Although total laryngectomy may be necessary to ensure adequate tumor margins, this mutilating operation is frequently done because preservation of the healthy laryngeal remnant will not sustain an adequate airway with normal voice production and swallowing. The challenge in the treatment of T3 glottic cancer is to preserve the larynx by reconstruction of the created defect after removal of the tumorally involved hemilarynx. Autotransplantation of the trachea has been shown to succeed in extended laryngeal reconstruction with maintenance of speech, swallowing, and respiration after removal of advanced glottic cancer. These findings will improve laryngeal preservation strategies in treating laryngeal cancer.
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