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The addition of enteral and parenteral nutrition therapy in selected patients with laryngeal cancer has been an advance. In the area of surgical technique, section of the recurrent nerve for the treatment of abductor laryngeal spastic dysphonia has proved successful. In the area of reconstruction the use of the epiglottic flap for repair of the larynx after near\u2010total laryngectomy for glottic cancer and the use of the pectoralis major myocutaneous flap for one\u2010stage pharyngoesophageal reconstruction have been significant advances. 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