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KMID : 0358819870140020237
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1987 Volume.14 No. 2 p.237 ~ p.277
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RECONSTRUCTION OF HUGE SOFT PALATE DEFECT USING BY ELONGATED PHARYNGEAL FLAP
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Kang Yoon-Jae
Kim Jin-Chul
Lim Poong
Cho Seung-Ho
Suh Byung-Do
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Abstract
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Cancer of the oral cavity represents about 3 per cent of all cancers. The palate is found to be the primary site of origin in 5 to 12 per cent of all oral cancers.
Curative treatment methods utilized were limited to radiation, surgery or the combination. Largely owing to concern for the potential of palatal incompetence, radiation has been recommened as the treatment of choice in all but the smallest soft palate epidermoid cancers. The recurrence rate after radiation has been found to be excessive in many previous reports. Excessive defect of the soft palate is difficult to close using local tissues. Palatal prosthesis is often very effective in restoring palatal competence. However, it causes some problems like that local irritation and difficulties in oral hygiene.
Authors report a case of squamous cell carcinoma of soft apalate who have been successfully treated with transoral resection and reconstruction. For reconstruction of surgical defect, elongated pharyngeal flap was adapted to the nasal defect and island lapatal flap was transferred to cover the oral aspect of the defect.
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