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Published on: May 14, 2020
Techniques and outcomes in microsurgical soft palate reconstruction
Charles Anton Fries1, Nidal Al Deek2, Fu-Chan Wei2
1Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University and Medical College, Taoyuan, Taiwan.
Microsurgical reconstruction of the soft palate using anterolateral thigh flaps resulted in excellent speech and swallowing function. This technique offers good functional outcomes for patients requiring soft palate repair.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Microsurgery
Background:
- The soft palate is crucial for airway maintenance, swallowing, and speech.
- Microsurgical reconstruction techniques are vital for restoring function after soft palate defects.
Purpose of the Study:
- To describe a microsurgical technique for soft palate reconstruction.
- To analyze patient-reported outcomes, including speech and swallowing function.
Main Methods:
- Retrospective analysis of 20 cases undergoing soft palate reconstruction.
- Utilized anterolateral thigh free flaps, with or without vastus lateralis muscle.
- Assessed outcomes using the University of Washington Quality of Life (UWQOL) questionnaire and Hirose Standard speech analysis.
Main Results:
- Nine cases were available for post hoc analysis.
- Speech intelligibility was excellent in 8/9 cases and moderate in 1/9.
- All patients tolerated an oral diet, with high mean UWQOL scores for physical and emotional-social domains.
Conclusions:
- Microsurgical reconstruction of the soft palate with free anterolateral thigh flaps provides good functional outcomes.
- Velopharyngeal narrowing techniques combined with free flaps are effective for soft palate repair.
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