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Tumor recurrence at the tracheostoma following laryngectomy for glottic cancer is difficult to treat due to its anatomic structures. Incidence of stomal recurrence after total laryngectomy ranges between 5%–15%. Risk factors for stomal recurrence include the site of tumor, T-staging, nodal metastasis and previous tracheostomy. Salvage surgery for stomal recurrence requires aggressive excision and reconstruction. Herein, we present a case of anterior mediastinal tracheostomy and reconstruction for stomal recurrence after partial laryngectomy.