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Das \u00fcbergeordnete Ziel der rekonstruktiven chirurgischen Behandlung von laryngealen Tumoren ist, den Tumor suffizient zu resezieren und gleichzeitig die Auswirkungen der Behandlung auf Stimme, Atmung und Schlucken zu minimieren. Allgemein haben prim\u00e4re Rekonstruktionen im Rahmen der prim\u00e4ren Larynxoperation viele Vorteile. Das Gewebe ist zu diesem Zeitpunkt weich, weil der Vernarbungsprozess noch nicht eingesetzt hat. Auch kann durch den sofort hergestellten Stimmlippenvolumenausgleich eine bessere Voraussetzung f\u00fcr einen suffizienten Glottisschluss erwartet werden. Die rekonstruktive Behandlung kann jedoch auch sekund\u00e4r erfolgen. 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