This study was conducted to evaluate the potential role of using the cervical fascia flap over the pharyngeal closure line to enhance healing and subsequently to decrease the incidence of pharyngocutaneous fistula after total laryngectomy.

Inclusion Criteria:

• All consecutive patients who will undergo total laryngectomy for advanced laryngeal carcinoma in the study duration.

Exclusion Criteria:

• Presence of extra-laryngeal extension.
• Patients undergoing partial pharyngectomy.
• Previous neck irradiation.
• Previous neck surgery.
• Patients' refusal to participate in the study.