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Reconstruction of a total soft palatal defect using a folded radial forearm free flap and palmaris longus tendon sling
DC Field | Value | Language |
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dc.contributor.author | 나동균 | - |
dc.contributor.author | 이동원 | - |
dc.contributor.author | 이원재 | - |
dc.date.accessioned | 2014-12-19T16:29:23Z | - |
dc.date.available | 2014-12-19T16:29:23Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 2234-6163 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/89625 | - |
dc.description.abstract | BACKGROUND: The soft palate functions as a valve and helps generate the oral pressure required for normal speech resonance. Speech problems and nasal regurgitation can result from a soft palatal defect. Reduction of the size of the velopharyngeal orifice is required to compensate for the lack of mobility in a reconstructed soft palate. We suggest a large volume folded free flap for reduction of the caliber and a palmaris longus tendon sling for suspension of the reconstructed palate. METHODS: Six patients had total soft palate resection for tonsillar cancer and reconstruction with a large volume folded radial forearm free flap combined with a palmaris longus sling. A single surgeon and speech therapist examined the patients with three standardized speech assessment tools: nasometer test, consonant articulation test, and speech acuity test performed for speech evaluation. RESULTS: Mean nasalance score was 76.20% for sentences with nasal sounds and 43.60% for sentences with oral sounds. Hypernasality was seen for oral sound sentences. The mean score of the picture consonant articulation test was 84% (range, 63% to 100%). The mean score of the speech acuity test was 5.84 (range, 5 to 6). These mean ratings represent a satisfactory level of speech function. CONCLUSIONS: The large volume folded free flap with a palmaris longus tendon sling for total soft palate reconstruction resulted in satisfactory prognosis for speech despite moderate hypernasality. KEYWORDS: Free tissue flaps, Palate, soft, Speech | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | Archives of Plastic Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Reconstruction of a total soft palatal defect using a folded radial forearm free flap and palmaris longus tendon sling | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Plastic Surgery & Reconstructive Surgery (성형외과학) | - |
dc.contributor.googleauthor | Myung Chul Lee | - |
dc.contributor.googleauthor | Dong Won Lee | - |
dc.contributor.googleauthor | Dong Kyun Rah | - |
dc.contributor.googleauthor | Won Jai Lee | - |
dc.identifier.doi | 22783487 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02729 | - |
dc.contributor.localId | A01229 | - |
dc.contributor.localId | A03005 | - |
dc.relation.journalcode | J00231 | - |
dc.identifier.pmid | 22783487 | - |
dc.subject.keyword | Free tissue flaps | - |
dc.subject.keyword | Palate, soft | - |
dc.subject.keyword | Speech | - |
dc.contributor.alternativeName | Rah, Dong Kyun | - |
dc.contributor.alternativeName | Lee, Dong Won | - |
dc.contributor.alternativeName | Lee, Won Jai | - |
dc.contributor.affiliatedAuthor | Lee, Dong Won | - |
dc.contributor.affiliatedAuthor | Rah, Dong Kyun | - |
dc.contributor.affiliatedAuthor | Lee, Won Jai | - |
dc.citation.volume | 39 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 25 | - |
dc.citation.endPage | 30 | - |
dc.identifier.bibliographicCitation | Archives of Plastic Surgery, Vol.39(1) : 25-30, 2012 | - |
dc.identifier.rimsid | 32358 | - |
dc.type.rims | ART | - |
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