Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of the Soft Palate Reconstruction Using the Bilateral Palatal Mucomuscular Flap and Pharyngeal Flap after Wide Resection

연구개 및 구개수 암종의 광범위 절제 및 국소 점막근 피판 재건술 1예

  • Gu, Ga Young (Department of Otolaryngology, Ajou University School of Medicine) ;
  • Lee, Hye Ran (Department of Otolaryngology, Ajou University School of Medicine) ;
  • Jang, Jeon Yeob (Department of Otolaryngology, Ajou University School of Medicine)
  • 구가영 (아주대학교 의과대학 이비인후과학교실) ;
  • 이혜란 (아주대학교 의과대학 이비인후과학교실) ;
  • 장전엽 (아주대학교 의과대학 이비인후과학교실)
  • Received : 2021.12.23
  • Accepted : 2022.04.04
  • Published : 2022.05.30
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Abstract

The soft palate of carcinoma limited to the uvular region is infrequent among oropharyngeal cancers. The oropharynx regulates swallowing and speech through dynamic motions. Failure to reconstruct after surgical resection of the oropharynx structure can lead to permanent velopharyngeal insufficiency. Therefore, suitable reconstruction is important in establishing proper functional outcomes while maintaining oncological safety. We present a case of a 66-year-old male who was diagnosed with oropharynx cancer limited in the uvula accompanied by lymph node metastasis. After surgical resection, reconstruction was performed with the united arrangement of bilateral palatal mucomuscular flap and superiorly based posterior pharyngeal flap. There was no aspiration or reflux after feeding and epithelialization completely occurred after 1 month postoperatively. We report a successful case that the reconstruction with the local flap described above could preserve proper oropharyngeal function after primary surgery in small-sized oropharyngeal cancer.

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References

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