Is laryngeal framework surgery safe in the radiated larynx?

Medialisation thyroplasty with tensor fascia lata: a novel approach for reducing post-thyroplasty complications

“…Patients with a history of radiation to the neck have a significantly increased risk for post-operative complications and wound infections for subsequent surgery in the head and neck 12 . Though generally considered safe for the carefully selected patient, 13 traditional laryngeal framework surgery in this population may be associated with minor post-operative wound complications 8 . Major complications have been reported in some case series as well, including fistula formation and implant extrusion 14 , 15 …”

“…This risk is greater in patients who have received chemoradiation to the neck 7 . Laryngeal framework surgery is generally considered to be safe in irradiated patients, but some studies have suggested a higher post-operative minor complication rate 8 …”