腫瘍切除後に前腕皮弁で再建を行った軟口蓋多形性腺腫の3例 Reconstruction using a radial forearm flap after excision of pleomorphic adenoma arising in the soft palate : Report of 3 cases
The soft palate plays an important role in articulation and swallowing. Repair of large surgical defects of the soft palate is extremely difficult and it may result in velopharyngeal dysfunction.<BR>Three cases of immediate reconstruction using a free radial forearm flap after excision of a massive pleomorphic adenoma arising in the soft palate are reported.In these patients, we evaluated articulatory and velopharyngeal functions preoperatively and postoperatively. Articulatory function was assessed by intelligibility tests involvingthe pronunciation of 100 Japanese monosyllables, and velopharyngeal function was evaluated by blowing ratio. All patients had successful restoration of articulatory and velopharyngeal functions, with normal speech, swallowing, and nasal breathing. These results indicatedthat reconstruction using a radial forearm flap was effective for preserving velopharyngeal function and speech intelligibility in patients with large defects following excision ofsoft palate tumors.
日本口腔外科学会雑誌 52(3), 199-202, 2006-03-20
Japanese Society of Oral and Maxillofacial Surgeons