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KMID : 1195620080010030161
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Clinical and Experimental Otorhinolaryngology
2008 Volume.1 No. 3 p.161 ~ p.165
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Functional Benefit after Modification of Radial Forearm Free Flap for Soft Palate Reconstruction
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Kim Jin-Hwan
Oh So-Jung
Rho Young-Soo
Ahn Hwoe-Young
Chu Hyung-Ro
Bae Woo-Jin
Kang Jeong-Min
Jung Chul-Hoon
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Abstract
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Objectives: To compare the velopharyngeal function, swallowing and speech of the conventional and modified radial forearm free flap (RFFF) for soft palate reconstruction.
Methods: Retrospective clinical study. Twenty-eight patients who underwent oropharyngeal reconstruction with RFFF were divided into two groups: 10 patients had conventional folded RFFF and 18 patients underwent modified method.
Results: The average speech intelligibility score in modified RFFF group was 8.0±2.4, and 6.2±2.2 in conventional RFFF group (P<0.05). The nasalance was 27.4±7.8% in modified group and 38.6±2.7% in conventional group during no nasal passage reading and 43.6±7.3% in modified group, 55.2±7.6% in conventional group during high nasal passage reading (P<0.05). The subjective swallowing functional score was 2.8 in modified group and 2.1 in conventional group.
Conclusion: The speech assessment and nasalance demonstrate a more favorable outcome in modified group than conventional group.
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KEYWORD
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Radial Forearm Free Flap, Oropharyngeal cancer, Soft palate
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