Panoramic view (1 of 4)
Hemilaryngectomy, with standard (unmodified) epiglottic reconstruction. Panoramic view. Right true cord (left of photo) with arytenoid and anterior left true cord have been removed. The right arytenoid mucosa (left of photo) flops anteriorly because the arytenoid cartilage that would lift and stiffen this mucosa is gone on that side. Epiglottis remains in its original position, with petiole (P) opposite asymmetrical arytenoid mounds.
Interior of larynx (2 of 4)
Close up view of interior of larynx during quiet breathing. The vocal process of left arytenoid (right of photo) by "V" and the petiole of the epiglottis by "P". The upper rim of the cricoid is labeled as well.
Phonation (3 of 4)
During phonation, the vocal process swings medially but there is nothing at the vocal cord level available to vibrate.
"Wolfman Jack" voice (4 of 4)
Instead, arytenoid and aryepiglottic fold mucosa is pressed into service. These tissues are seen vibrating (blurred) here in order to produce a rough “Wolfman Jack” voice quality. Compare with photo 1.