PRESENTATION OF CASES
Case 1.—A 65-year-old man was found to have a T2N1M0 (stage III) squamous cell carcinoma involving the supraglottic larynx. This lesion involved the laryngeal surface of the epiglottis and both aryepiglottic folds. He subsequently underwent supraglottic laryngectomy and a traditional right-sided radical neck dissection with dermal graft protection of the carotid artery. A dermal graft was used in anticipation that wound healing would be impaired because the patient was a chronic alcoholic with obstructive pulmonary disease and poor nutritional health.Healing occurred without complications, and eight weeks after the original operation, the patient underwent a traditional left-sided neck dissection because of the verification of metastatic nodal disease in the original specimen from the right side of the neck. The surgical specimen from the second neck dissection contained two nodes with metastatic cancer in the upper portion of the jugular nodal chain. After healing was complete, the patient