Abstract
Abstract Since the 1990s there has been a dramatic shift in the management of advanced laryngeal cancer. Today chemoradiation is often performed as a primary treatment with “salvage” total laryngectomy being performed subsequently if needed. In this article, the authors review the current protocols for the diagnosis of recurrent cancer, the surgical and reconstructive techniques used, and the strategies for management of post-operative complications. There is a paucity of literature about the functional outcomes after this type of procedure. It is known that voice restoration with a tracheoesophageal puncture may be challenging in this population of patients due to the complications associated with their previous treatment. Nonetheless, with appropriate patient selection, careful problem-solving, and persistence, positive outcomes may be achieved.
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