The patient was prepared for a laryngofissure cordectomy and type III thyroplasty.
After the cordectomy was completed, the intended vertical line of the incision was drawn, approximately at the junction of the anterior and middle one-third of the right thyroid ala (figure 1, C).
The satisfactory glottic closure and voice result were achieved quickly because the type III thyroplasty was performed with the laryngofissure cordectomy.
This reconstructive procedure could also be used to improve glottic closure in patients who have undergone a prior endoscopic cordectomy.
The voice outcome after a cordectomy may not be satisfactory to the patient because the missing vocal fold is not reconstructed.
Several techniques have been proposed to preserve the best phonatory function after cordectomy, using either the sternohyoid muscle or the ventricular band to construct a neocord perioperatively.
Furthermore, fat must be injected between the cartilage and the vocal fold, and since this is no longer possible after total cordectomy, injection of substances to treat glottal gap after cordectomy is not useful.
Medialization surgery is advocated for the cordectomy patient only when the post-therapy voice outcome does not meet the patient's requirements.
Because of the disadvantages of other reconstructive techniques, the author considered a combined laryngo fissure cordectomy and type III thyroplasty surgical approach in the case reported here.