Neoglottic reconstruction after total laryngectomy. Staffieri's techniques: a report of 18 cases

Abstract

Mario Staffieri and associates developed a technique for reconstruction of a phonatory neoglottis in 1970. Since then Staffiere has performed over 100 of these procedures with approximately a 90% success rate. The technique has been used in 18 cases at The University of Texas Medical Branch in Galveston with certain variations. All patients received a wide field total laryngectomy for T3 or T4 endolaryngeal or pyriform sinus carcinomas. Of these 18 patients, two did not have neoglotic fistulas created. Of the 16 patients who remained in the series, 12 have a good voice. One died of carcinoma of the lung, one had spontaneous closure after postoperative radiotherapy, one aspirated severely and was closed surgically, and the last patient had a postoperative wound infection and closed spontaneously. He developed good esophageal speech.