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http://dx.doi.org/10.21593/kjhno/2022.38.1.31

A Case of the Soft Palate Reconstruction Using the Bilateral Palatal Mucomuscular Flap and Pharyngeal Flap after Wide Resection  

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)
Publication Information
Korean Journal of Head & Neck Oncology / v.38, no.1, 2022 , pp. 31-35 More about this Journal
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.
Keywords
Soft palate reconstruction; Pharyngeal flap; Palatal flap; Oropharyngeal cancer;
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Times Cited By KSCI : 1  (Citation Analysis)
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