• The anterior commissure technique of partial laryngectomy is useful for treating "horseshoe" lesions of the larynx. As originally described, a McNaught keel is used after the excision to maintain an open glottic chink and to prevent webbing. After three weeks, this keel is removed as a surgical procedure. During the past four years, we have treated 12 patients using 0.020-gauge Silastic sheeting to replace the McNaught keel. The Silastic sheet is anchored above and below the glottis with externally tied 2-0 proline sutures. Two to three weeks later, a direct laryngoscopy is performed and the stent is removed. This modification avoids a second surgical procedure, decreases the hospital stay, and allows for inspection of the glottis.
(Arch Otolaryngol 106:503-504, 1980)
Blitzer A, Pang M, Som M, Cho H. Modification of the Anterior Commissure Technique of Partial Laryngectomy. Arch Otolaryngol. 1980;106(8):503–504. doi:10.1001/archotol.1980.00790320055014