Postoperative function of the oropharyngeal cancer patients:—lateral wall and soft palate reconstruction—

概要

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Reconstruction of the tonsillar fossa and soft palate is sometimes troublesome, because of postoperative deglutition and speech disorder. In this study, we reviewed 84 patients who underwent reconstruction surgery of this area at our hospital during the period from 1977 to 1995. As a result, (1) wide resection causes poor postoperative quality, (2) patients after 1990 shows better function of eating and speaking than patients before 1990, (3) free flap reconstruction has more benefit than pedicled flap because trimming of the free flap is quite easy and it can fit any defect of the lesion. One of the most important things during surgery are not to injure the function of nasophayngeal closure and tongue mobility. In these couple of years, we routinely use rectus abdominis M - C flap after wide resection of the oropharyngeal cancer.
特定非営利活動法人日本頭頸部外科学会の論文