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Published on: December 5, 2025
Use of the infra hyoid musculo-cutaneous flap in soft palate reconstruction
P Gangloff1, A Deganello, M L Lacave
1Head and Neck Surgery Unit, Oncologic Surgery Department, Centre Alexis Vautrin, Avenue de Bourgogne, Brabois, 54511 Vandoeuvre les Nancy Cedex, France. gangloffp@aol.com
Aims:
To review a series of 23 consecutive patients with squamous cell carcinomas arising from oropharynx who underwent infra hyoid musculo-cutaneous flap reconstruction including soft palate in alternative to free radial forearm flap or maxillofacial prosthesis. Post operative radiotherapy was performed for all patients.
Results:
Every reconstruction healed quickly without major wound complications. The functional results evaluated by speech and swallowing capacities, were good for 17 patients, fair for 4 patients and bad for 2.
Conclusions:
The infra hyoid musculo-cutaneous flap is a versatile, reliable and convenient flap suitable for repairing small and medium sized defects; it can be used in combination with other flaps, and in selected cases obviates the need for a microvascular free radial forearm flap or maxillofacial prosthesis.