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Updated: Jan 25, 2026

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Harvesting of Peroneus Longus Tendon Autograft
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Longus Capitis Reconstruction of the Soft Palate
Jennifer H Gross1, Joseph Zenga2, Jeffrey D Sharon3
11 Department of Otolaryngology-Head and Neck Surgery, Washington University, Saint Louis, Missouri, USA.
Summary
The longus capitis muscle (LCM) flap offers a viable solution for soft palate (SP) reconstruction after cancer surgery. This local flap provides functional recovery with minimal donor site issues.
Area of Science:
- Head and Neck Surgery
- Surgical Oncology
- Reconstructive Surgery
Background:
- Soft palate reconstruction presents significant challenges in head and neck surgery.
- The longus capitis muscle (LCM) is a deep neck flexor with suitable characteristics for local flap reconstruction.
Purpose of the Study:
- To evaluate the efficacy of the superiorly based longus capitis muscle (LCM) flap for soft palate (SP) reconstruction in patients with tonsil squamous cell carcinoma.
Main Methods:
- A retrospective review of 3 patients with T2-T4 tonsil squamous cell carcinoma undergoing SP resection and LCM flap reconstruction.
- Patients underwent transoral resection, followed by reconstruction with a superiorly based LCM flap.
- Adjuvant therapy was administered as indicated.
Main Results:
- All 3 patients had full-thickness SP defects of at least 50% after resection.
- Within 3 to 8 months post-reconstruction, all patients achieved a full oral diet.
- No cases of dysphagia, nasal regurgitation, or velopharyngeal insufficiency were reported.
Conclusions:
- The superiorly based LCM flap is a functionally acceptable option for reconstructing significant soft palate defects.
- This reconstructive technique offers minimal donor site morbidity for select patients.
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