[Autoplastic closure of a persistent postoperative laryngeal fistula in a patient who had undergone previous irradiation (author's transl)].

The authors present a case of closure of a postoperative laryngeal fistula in an irradiated area, obtained after the failure of several local plastic procedures. They used a distant pediculated flap, taken from non-irradiated tissue and from an unusual site: an acromio-occipital flap, using the acromial part with secondary repositioning of the nutrient pedicle. They emphasise the excellent vitality of this flap, its healing effect in the area of radio-dermatitis despite poor general condition, and the necessity for bypass of the upper airway during the time of healing.