Introduction: Partial or total resection of the epiglottis frequently causes aspiration and dysphagia after tumor surgery. Therefore, reconstruction of the epiglottis following resection can be useful to restore supraglottic anatomy.

Materials and Methods: In a patient with T2 supraglottic carcinoma partial laryngectomy together with tracheotomy and selektive neck dissection was performed by microscopic laser surgery. For supraglottic reconstruction the proximal part of the resection margin was sutured to the most lateral part of the resection zone at the base of the tongue. No specific instruments or sutures were required for the reconstructive procedure.

Results: After the end of wound healing the patient showed no signs of aspiration and a normal swallowing function despite a neoepiglottis of significant smaller size compared to the preoperative status.

Conclusion: After partial supraglottic laryngectomy the residual part of the epiglottis can be used to reconstruct a neoepiglottis preventing postoperative swallowing disorders or aspiration. Even a smaller size of the reconstructed epiglottis is sufficient to restore normal postoperative physiology of swallowing.

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