Pharyngeal Tube Flap and Palatoglossal Rotation Flap in Subtotal Soft Palate Reconstruction.
Reconstruction of the soft plate after oncologic resection is complex owing to the palate's complex role in speech and swallow. This challenge becomes more complex as defects increase in size. Current management of soft plate reconstruction includes obturation as well as local or microvascular flaps. These methods, though, are limited by poor function and complexity. In regard to large subtotal central soft palate defects, we expand on previous descriptions of a tubed posterior pharyngeal constrictor flap to include a palatoglossal rotational flap that is facile and hardy and has a decreased recovery time. Furthermore, we present 2 representative cases, including 1 with previous radiation, in which our technique was utilized with successful closure of the defect and without subsequent breakdown.
Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Johnny P
JP
Mai
Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA nsadeghi@mfa.gwu.edu.
Nader
N
Sadeghi
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D010157:Palatal Neoplasms / Q000601:surgery*; D010160:Palate, Soft / Q000601:surgery*; D010614:Pharynx / Q000601:surgery; D013524:Surgical Flaps; D014059:Tongue / Q000637:transplantation
palatoglossus flap; pharyngeal tube flap; reconstruction; soft palate