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August 1980

Modification of the Anterior Commissure Technique of Partial Laryngectomy

Author Affiliations

From the Department of Otolaryngology, Columbia University College of Physicians and Surgeons (Drs Blitzer and Cho), Division of Head and Neck Surgery, Beth Israel Hospital (Drs Pang and Som), and Department of Otolaryngology, Mount Sinai School of Medicine (Dr Som), New York.

Arch Otolaryngol. 1980;106(8):503-504. doi:10.1001/archotol.1980.00790320055014

• 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)

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