Pseudoglottis procedure: Update and secondary reconstruction techniques

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Abstract
Since our first report of 12 cases in 1977, we have added 37 cases and continue to modify our primary procedure for the reconstruction of a pseudoglottis after total laryngectomy. It has been and continues to be applied to a growing number of patients. We have also introduced a procedure modified after Staffieri for the secondary reconstruction of a pseudoglottis after total laryngectomy. A review of our cases reveals that a high percentage have achieved a good voice. Complications and problems continue and are further examined in this report. The current techniques and indications for the secondary reconstruction procedures are discussed. Even with the continuing problems, we believe that the use of Staffieri techniques or modifications thereof continues to be promising and may well become an accepted procedure in American laryngeal surgery.