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Lining the superiorly based pharyngeal flap.

S B Hardy, M Spira

Annals of Plastic Surgery

|October 1, 1983

Summary

This summary is machine-generated.

This study presents a modified pharyngeal flap technique for nasal lining reconstruction. The improved method simplifies the procedure, reducing complications in patients with scarred soft palates.

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Area of Science:

Plastic Surgery
Otolaryngology
Craniofacial Surgery

Background:

Superiorly based pharyngeal flaps are used for velopharyngeal insufficiency.
Creating a nasal mucosal lining for these flaps can be technically challenging, especially with scarred palates.

Purpose of the Study:

To describe a modified technique for developing a nasal mucosal flap for pharyngeal flap reconstruction.
To simplify the procedure and reduce complications.

Main Methods:

A long, horizontal incision is made high in the soft palate for flap attachment.
Nasal lining dissection begins at this incision and extends posteriorly.
A single, broad mucosal flap is created and turned back to line the pharyngeal flap.

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Main Results:

The described technique facilitates easier performance of the pharyngeal flap procedure.
This modification leads to a reduction in operative complications.

Conclusions:

The modified pharyngeal flap technique simplifies nasal lining reconstruction.
This approach is particularly beneficial for patients with scarred and immobile soft palates, improving surgical outcomes.