Soft-palate reconstruction with the pharhyngeal flap and the mucoperiosteal flap from the hard palate

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  • 咽頭粘膜弁・硬口蓋粘骨膜弁による軟口蓋再建

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A 68-year-old woman showing necrotic tumor on right soft palate was admitted to the Kitakyushu municipal medical center. Tissue biopsy revealed well differentiated squamous cell carcinoma. A lcm and a 1.2cm lymph nodes could be palpated in the right upper-jugular chain and submandibular area. Before operation 30Gy of external radiation combined with weekiy administration of CBDCA (50mg) was done. A total excision of soft palate including right tonsillar pillar and right radical neck dissection were performed. We reconstructed entiere soft palatal defect with both superiorly and inferiorly based pharyngeal flap, and mucoperiosteal flap from the hard palate. The patient can speech and swallow with no difficulty after reconstruction. Compared with reconstructive surgery using forehead flap or deltopectoral flap or free flap, our method has some advantages mentioned below.1. This method is non-invasive, short-time operation, and does not require specific technique.2. Management following operation is simple.3. This patient reveals satisfactory function in speeking and swallowing.

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