title: Use of Postoperative Palatal Obturator After Total Palatal Reconstruction With Radial Forearm Fasciocutaneous Free Flap.
abstract: A 67-year-old-male patient visited our hospital for a mass on the soft palate of approximately 5.0 × 6.0  cm in size. He was diagnosed with adenoid cystic carcinoma and reconstruction after total palate resection was planned. After ablative surgery, a radial forearm free flap procedure was successfully performed to cover the hard and soft palates. However, wound disruption occurred twice during the postoperative period. When a palate defect is reconstructed using a soft tissue free flap, flap drooping by gravitation and the flap itself can generate irregularity in the lower contour of the palate and, in the long-term, insufficiencies of velopharyngeal function, speech, and mastication. To complement such functional and aesthetic problems caused by flap drooping, conventional prosthetics and new operative techniques have been discussed. However, overcoming wound disruption caused by flap drooping in the acute postoperative period has not been discussed. In this case, the temporary use of a palatal obturator during the postoperative period was beneficial after soft tissue reconstruction of the palate.
authors.affiliation: *Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea †Department of Otorhinolaryngology, Head and Neck Surgery, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea ‡Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul, Republic of Korea.
authors.forename: Euicheol C
authors.initials: EC
authors.lastname: Jeong
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Jung
authors.forename: Jin-yong
authors.initials: JY
authors.lastname: Shin
mesh_terms: D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D003528:Carcinoma, Adenoid Cystic / Q000601:surgery; D005205:Fascia / Q000637:transplantation*; D005542:Forearm / Q000601:surgery; D058752:Free Tissue Flaps / Q000637:transplantation*; D006801:Humans; D008297:Male; D008409:Mastication / Q000502:physiology; D010157:Palatal Neoplasms / Q000601:surgery; D010158:Palatal Obturators; D010159:Palate / Q000601:surgery*; D021362:Palate, Hard / Q000601:surgery; D010160:Palate, Soft / Q000601:surgery; D011183:Postoperative Complications; D011391:Prolapse; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013529:Surgical Wound Dehiscence / Q000209:etiology; D060053:Transplant Donor Site / Q000601:surgery