title: [Combination of velopharyngoplasty and transposition flap of buccal mucosa for primary reconstruction of the soft palate].
abstract: Reconstruction of the soft palate after tumor surgery can present a challenge in closing the defect created and achieving a sufficient functional result. We present a new technique for primary reconstruction after partial or total resections of the soft palate. The method is based on the combination of a cranially pedicled pharyngeal mucosa muscle flap with an oral mucosal transposition flap. If partial resection of the lateral pharyngeal wall is also required, the method can be combined with a masseter crossover flap. Our present experience has shown that the surgical technique used will result in an uncomplicated and rapid primary two-layer reconstruction of the soft palate with a comparatively low postoperative complication rate and satisfactory functional results in speaking and swallowing.
authors.affiliation: Universitäts-HNO-Klinik Heidelberg.
authors.forename: H
authors.initials: H
authors.lastname: Maier
authors.forename: J
authors.initials: J
authors.lastname: Zöller
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods; D010157:Palatal Neoplasms / Q000601:surgery*; D010160:Palate, Soft / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D013524:Surgical Flaps / Q000379:methods*; D013536:Suture Techniques; D014067:Tonsillar Neoplasms / Q000601:surgery*; D014681:Velopharyngeal Insufficiency / Q000209:etiology
vernacular_title: Kombination von Velopharyngoplastik und Wangenschleimhauttranspositionslappen zur primären Rekonstruktion des weichen Gaumens.