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Radial forearm-palmaris longus tenocutaneous free flap; implication in the repair of the moderate-sized postoncologic soft palate defect.

Authors
 Tai Suk Roh  ;  Won Jai Lee  ;  Eun Chang Choi  ;  Yoon Woo Koh  ;  Dae Hyun Lew 
Citation
 HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, Vol.31(9) : 1220-1227, 2009 
Journal Title
 HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK 
ISSN
 1043-3074 
Issue Date
2009
MeSH
Adult ; Aged ; Deglutition ; Female ; Forearm ; Humans ; Male ; Middle Aged ; Oropharyngeal Neoplasms/surgery* ; Palate, Soft/surgery* ; Reconstructive Surgical Procedures/methods* ; Speech Intelligibility ; Surgical Flaps* ; Tendons/transplantation ; Velopharyngeal Sphincter/physiopathology
Keywords
free flap ; palmaris longus tendon ; soft palate ; reconstruction ; radial forearm
Abstract
BACKGROUND: Moderate resection of the soft palate results in suboptimal outcomes in terms of postoperative velopharyngeal function. We propose the radial forearm tenocutaneous free flap incorporating the palmaris longus tendon for reconstruction of the levator sling in these cases. METHODS: Twenty-six patients underwent reconstruction with this method. Group I defect involved up to one-fourth of the soft palate. Group II defect involved up to one-half of the soft palate whether or not including the uvula. Group III defect involved more than three-fourths of the soft palate. Postoperative function was assessed by means of speech intelligibility, swallowing performance, nasalance score, and nasoendoscopy. RESULTS: Groups I and II showed normal results for speech intelligibility and swallowing function at 44 months. In group III, both parameters proved to be suboptimal. CONCLUSIONS: Moderate-sized soft palatal resection cases (group II) benefited most from this particular method of dynamic reconstruction using the radial forearm tenocutaneous free flap.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/hed.21093/abstract
DOI
10.1002/hed.21093
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Lew, Dae Hyun(유대현)
Lee, Won Jai(이원재) ORCID logo https://orcid.org/0000-0003-3056-0503
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104773
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