Laryngeal reconstruction by composite nasoseptal graft after extended partial laryngectomy. Twelve-year follow-up.

Reconstruction of the larynx after extended frontal, frontolateral, or subtotal laryngectomy is a challenge to the head and neck surgeon. Over the last 12 years we have used autogenous composite nasoseptal grafts for rehabilitation of the larynx after extended partial laryngectomy in carcinoma invading the anterior commissure of the glottis. The composite graft proved to be an excellent replacement tissue and provided a dependable rigid cartilaginous wall lined by respiratory mucosa. The effectiveness of the procedure in bridging the laryngeal defect was successfully demonstrated in 29 patients. Good functional results were achieved in all of them. In our experience the nasoseptal graft is a safe and reliable single-stage procedure that provides a relatively easy and early laryngeal rehabilitation.