- Volume 39 Issue 6
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Soft Palate Reconstruction Using Bilateral Palatal Mucomuscular Flap and Pharyngeal Flap after Resection of Squamous Cell Carcinoma
- Kim, Jun Sik (Department of Plastic and Reconstructive Surgery, Gyeongsang National University School of Medicine) ;
- Jo, Hyeon Jong (Department of Plastic and Reconstructive Surgery, Gyeongsang National University School of Medicine) ;
- Kim, Nam Gyun (Department of Plastic and Reconstructive Surgery, Gyeongsang National University School of Medicine) ;
- Lee, Kyung Suk (Department of Plastic and Reconstructive Surgery, Gyeongsang National University School of Medicine)
- Received : 2012.07.07
- Accepted : 2012.09.04
- Published : 2012.11.15
Squamous cell carcinoma infrequently occurs at the soft palate. Although various methods can be used for reconstruction of soft palate defects that occur after resecting squamous cell carcinoma, it is difficult to obtain satisfactory results from the perspective of the functional restoration of the soft palate. A combination of bilateral palatal mucomuscular flap for the oral side and superiorly based posterior pharyngeal flap for the nasal side were performed on two patients who were diagnosed with squamous cell carcinoma of the soft palate in order to reconstruct the soft palate defects after surgical resection. After surgery, the patients were followed-up for a mean period of 11 months. The flaps were well maintained in both patients. The donor site defects were epithelialized and completely recovered. Additionally, no recurrence of the primary sites was shown. Slight hyponasality was observed in the voice assessments that were conducted 6 months after surgery. No food regurgitation or aspiration was observed in the swallowing tests. We used a combination of bilateral palatal mucomuscular flap and superiorly based posterior pharyngeal flap to reconstruct the soft palate defects that occurred after resecting the squamous cell carcinomas. We reduced the donor site complications and achieved functionally satisfactory outcomes.
- Kim YM. Malignant neoplasms of the oropharynx. In: Na KS, editor. Otolaryngology-head and neck surgery. 2nd ed. Seoul: Iljogak; 2009. p. 1624-44.
- Harreus U. Malignant neoplasms of the oropharynx. In: Flint PW, Haughey BH, Lund VJ, et al., editors. Cummings otolaryngology-head and neck surgery. 5th ed. Philadelphia: Mosby; 2010. p. 1365-8.
- Kim CL, Cho KS, Kim KY, et al. Squamous cell carcinoma of the soft palate and uvula. J Korean Assoc Maxillofac Plast Reconstr Surg 1996;18:673-8.
- Gillespie MB, Eisele DW. The uvulopalatal flap for reconstruction of the soft palate. Laryngoscope 2000;110:612-5. https://doi.org/10.1097/00005537-200004000-00014
- Tezel E. Buccal mucosal flaps: a review. Plast Reconstr Surg 2002;109:735-41. https://doi.org/10.1097/00006534-200202000-00048
- Lacombe V, Blackwell KE. Radial forearm free flap for soft palate reconstruction. Arch Facial Plast Surg 1999;1:130-2. https://doi.org/10.1001/archfaci.1.2.130
- Zeitels SM, Kim J. Soft-palate reconstruction with a "SCARF" superior-constrictor advancement-rotation flap. Laryngoscope 1998;108:1136-40. https://doi.org/10.1097/00005537-199808000-00006
- Kim UK, Lee SH, Hwang DS, et al. Clinical review of soft tissue reconstructive methods on intraoral defects. J Korean Assoc Maxillofac Plast Reconstr Surg 2007;29:527-37.
- Gangloff P, Deganello A, Lacave ML, et al. Use of the infra hyoid musculo-cutaneous flap in soft palate reconstruction. Eur J Surg Oncol 2006;32:1165-9. https://doi.org/10.1016/j.ejso.2006.07.011
- Seyfer AE, Prohazka D, Leahy E. The effectiveness of the superiorly based pharyngeal flap in relation to the type of palatal defect and timing of the operation. Plast Reconstr Surg 1988;82:760-4. https://doi.org/10.1097/00006534-198811000-00005