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Nasoseptal flap for reconstruction after robotic radical tonsillectomy
Carlos D Pinheiro-Neto1, Lisa T Galati1
1Division of Otolaryngology / Head and Neck Surgery, Department of Surgery, Albany Medical Center, Albany, New York.
Head & Neck
|May 5, 2016
Summary
The nasoseptal flap is a viable option for reconstructing oropharyngeal defects after transoral robotic surgery (TORS). This technique provides excellent coverage, particularly when soft palate resection is necessary.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Robotic Surgery
Background:
- Transoral robotic surgery (TORS) has advanced head and neck cancer treatment.
- Reconstruction of oropharyngeal defects post-TORS remains challenging.
- Limited reconstructive options with minimal scarring are needed.
Observation:
- A nasoseptal flap was harvested for oropharyngeal defect reconstruction.
- The technique was demonstrated via cadaver dissection and an illustrative case.
- Surgical resection involved the tonsil, soft palate, and tongue base.
Findings:
- The nasoseptal flap adequately covered defects in cadaver dissection (two-thirds of tonsillar defect).
- In the case study, the flap covered the palatal defect and superior half of the tonsillar defect.
- The flap proved feasible and reliable for oropharyngeal reconstruction.
Implications:
- The nasoseptal flap is a reliable method for oropharyngeal defect reconstruction after TORS.
- It offers excellent coverage, especially following soft palate resection.
- This technique may improve outcomes and reduce retraction complications.
