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KMID : 0361020100530040248
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Korean Journal of Otolaryngology - Head and Neck Surgery
2010 Volume.53 No. 4 p.248 ~ p.251
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A Case of Velopharyngeal Incompetence due to Unexplained Myopathy in a Patient with Terminal-Staged Breast Cancer
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Seo Jae-Hyun
Kim Ye-Won
Lee Jae-Hong
Park Chan-Soon
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Abstract
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Velopharyngeal incompetence is rare and difficult to diagnose, especially if there is no structural or neurologic cause for it. The authors have recently experienced a case of unexplained velopharyngeal incompetence in a 67-year old female patient with terminal-staged breast cancer (T4N2M1), who had received surgery before but failed. During her hospitalization for palliative treatment, the patient was referred to our department for hypernasality, nasal regurgitation and poor oral intake. Although clinical evaluations were completed to find the causes of velopharyngeal incompetence, no definite causes were found. Authors performed a palatopharyngoplasty with the superiorly based pharyngeal flap and her symptoms were cured. We report our case with a brief review of the literatures.
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KEYWORD
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Velopharyngeal incompetnce, Surgical flap, Paraneoplastic syndrome
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