This procedure involves harvesting a small section of the inner cheek lining (buccal mucosa) as a graft to repair or reconstruct parts of the airway or vocal cords. It's often used when significant tissue loss, scarring, or stenosis (narrowing) in the throat or larynx cannot be repaired with local tissue alone.

Under general anesthesia, a graft is removed from the inside of the cheek — an area that heals quickly — and is then shaped and sutured into the affected area. The goal is to restore normal structure and function while minimizing voice or airway compromise. Recovery involves voice rest, wound care, and sometimes temporary stents or breathing support, depending on the location of the graft. Voice therapy and follow-up scopes are essential to guide healing. The donor site in the mouth may feel sore for a few days but generally heals without long-term issues.