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A large experience with hemilaryngectomy performed by means of the laryngofissure exposure impressed me with the relatively little reaction and the rapid convalescence which usually follow this procedure. It occurred to me, therefore, that total laryngectomy, being little more than bilateral hemilaryngectomy with the added factors of a tracheal cannula, a nasal feeding tube and the necessity of repairing a pharyngeal defect, might be performed by this technic.
Removal of the larynx in two halves appealed to me because it seemed easier to perform and held promise of less trauma, less local reaction and the conservation of a greater amount of healthy mucous membrane for purposes of repair. The more mucous membrane saved, the greater would be the mobility of the anterior wall segment, hence a smaller defect, insuring easier closure and the prospect of primary union.
In addition to resection of the larynx in two parts, it was decided
MYERSON MC. APPLICATION OF THE HEMILARYNGECTOMY TECHNIC IN LARYNGECTOMY. Arch Otolaryngol. 1944;39(2):172–178. doi:10.1001/archotol.1944.00680010183008