METHOD FOR RECONSTRUCTIVE LARYNGOPLASTY Russian patent published in 2015 - IPC A61B17/24 A61B17/00 

FIELD: medicine.

SUBSTANCE: tumour is removed by a laryngectomy within the boundaries of health tissue together with an underlying part of a thyroid cartilage. The upper and lower parts of the thyroid cartilage not involved into the tumour process are presented on the involved side in the form of horizontal plates 6.0-8.0 mm wide. A skin flap is cut out on the neck 0.4 cm more than the width of the created larynx defect, while its length is supposed to be equal to the one of the defect. The skin flap is thrown over the preserved fragments of the thyroid cartilage. That provides restoring the removed part of the larynx. The flap is anchored with single sutures to the intact mucosa of the preserved parts of the larynx along the perimeter of the defect. A lumen of the newly formed larynx is packed. A laryngostoma and a tracheostoma is formed. A tracheostomic tube No. 5-6 is inserted into the tracheostoma. A dressing is applied.

EFFECT: method provides performing the functionally conservative surgery, preserving the natural respiratory and vocal functions, reducing postoperative inflammatory complications, preventing a laryngeal lumen stenosis and rehabilitating its functions, reducing a rate of intraoperative injuries and a length of staying in hospital, improving the patient's quality of life, making it possible to start a radiation therapy by preserving the intact upper and lower parts of the thyroid cartilage and repairing a laryngeal side wall with the thrown-over skin flap cut out on the neck.

4 dwg, 1 ex