Salvage Laryngectomy With Primary Pharyngeal Closure and Flap Onlay Technique.

Key Points

• To evaluate the effectiveness of free tissue onlay in reducing reconstruction needs after salvage laryngectomy.
• Conducted a comparative analysis of pharyngeal closure techniques
• Assessed patient outcomes with free tissue onlay versus pedicled flaps
• Analyzed rates of secondary reconstructive surgeries
• Free tissue onlay significantly decreased patency closure failure rates.
• Lower necessity for secondary reconstructive procedures was observed with onlay techniques.