[One stage reconstruction of hypopharynx following total laryngopharyngectomy (author's transl)].

The author reports upon his own experience with a one stage, total reconstruction following total laryngopharyngectomy first described by Loré jr. 1973. For the rebuilding of the anterior and lateral walls of hypopharynx a posterior tongue flap after Sisson (1956) and Hiranandani (1967) is used. The reconstruction of the posterior wall of hypopharynx is done using a free dermal graft from the thigh. This method seems to have certain merits: A radical procedure is possible; one stage operation; a good functional result concerning deglutition after a short time, which in the own two cases was not essentially injured after x-ray treatment with a full tumordosis.