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Reconstructive Surgery Related to Laryngology

In addition to restoration of function with available local tissue, fundamentals of tissue transplantation extending from the free skin graft to actual organ or partial organ transplantation, must be in the laryngologist's spectrum of thinking. This, then, leads to a consideration of microsurgery and vascular surgery. The use of implant materials, autogenous to synthetics, and the need for prosthetic devices, in particular circumstances broadens the scope of this work. The laryngologist must be intimately familiar with these surgical principles and the teaching of these fundamentals must be done throughout the entire training program in the specialty. With such a background, the need for additional fellowship years would lessen, or if taken, would be infinitely more valuable in that the advanced trainee could then concentrate on more sophisticated techniques and devote time to the development of new techniques and the promotion of futuro istic research.