Modified Total Laryngectomy With Strap-Flap Technique in a Patient With Bovine Aortic Arch Anomaly: A Case Report and Literature Review.

Background: Total laryngectomy is an essential surgical intervention in the management of advanced laryngeal carcinoma. However, anatomical variations such as the bovine arch can complicate this procedure. The atypical branching pattern of the bovine arch may position major vessels closer to the tracheostomy site, increasing the risk of tracheo-arterial fistulization.