Speech and swallowing following radial forearm flap reconstruction of major soft palate defects

McCombe, David; Lyons, Bernard; Winkler, R; Morrison, W. A.

doi:10.1016/j.bjps.2004.09.007

Cited by 52 publications

(35 citation statements)

References 15 publications

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“…8 In addition, obturation is typically less successful when the defect extends to involve the soft palate because of the soft palate’s dynamic involvement in the process of velopharyngeal closure. 9 …”

Section: Overview Of Functional Outcomesmentioning

confidence: 99%

Functional Assessment and Rehabilitation

Hutcheson

Lewin

2013

Otolaryngologic Clinics of North America

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Section: Overview Of Functional Outcomesmentioning

confidence: 99%

Functional Assessment and Rehabilitation

Hutcheson

Lewin

2013

Otolaryngologic Clinics of North America

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“…1,8 This practice is largely predicated on the recognition of the significant morbidity associated with open surgical approaches and the enhanced survival noted with concurrent CRT over radiotherapy (RT) alone in the treatment of SCC of the head and neck (SCCHN) in general, and in particular of the larynx and oropharynx. 11,[15][16][17][18][19][20][21][22][23][24][25] Therefore, as the survival outcomes resulting from surgical and nonsurgical strategies seem equitable, reducing the impact of treatment on long-term function is key in patients with oropharyngeal SCC, and in particular those with HPVpositive disease who have a favorable prognosis and tend to be younger and otherwise medically fit at presentation. 11,[15][16][17][18][19][20][21][22][23][24][25] Therefore, as the survival outcomes resulting from surgical and nonsurgical strategies seem equitable, reducing the impact of treatment on long-term function is key in patients with oropharyngeal SCC, and in particular those with HPVpositive disease who have a favorable prognosis and tend to be younger and otherwise medically fit at presentation.…”

Section: Introductionmentioning

confidence: 99%

Transoral laser microsurgery for oropharyngeal squamous cell carcinoma: A paradigm shift in therapeutic approach

et al. 2016

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To the best of our knowledge, this is the largest single-center TLM oropharyngeal SCC series to date. Our data suggest that TLM +/- postoperative radiotherapy (PORT) results in at least as good oncologic outcomes as chemoradiotherapy (CRT), while conferring swallowing function advantages. © 2016 Wiley Periodicals, Inc. Head Neck , 2016 © 2016 Wiley Periodicals, Inc. Head Neck 38:1263-1270, 2016.

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“…The reconstruction of total‐thickness defects of the soft palate is challenging for reconstructive surgeons. The separation of the sinonasal and oral cavities is an important goal, and good separation leads to intelligible speech, effective swallowing, and normal nasal breathing 1–5. The optimal reconstructive material varies depending on the location and size of each defect.…”

Section: Introductionmentioning

confidence: 99%

One‐sided soft palatal reconstruction with an anterolateral thigh fasciocutaneous flap: Report of two cases

2010

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Soft palate reconstruction is one of the greatest challenges for reconstructive surgeons. In the last 2 decades, anterolateral thigh (ALT) flaps have emerged as a popular reconstructive option because of the low donor morbidity, replacing radial forearm (RF) flaps. For soft palatal reconstructions, however, the RF flap remains the option of first choice, and only a few reports have described soft palatal reconstruction using an ALT flap. At our hospital, ALT flaps were utilized in two cases with soft palatal tumors. During the operation, the nasal side was left unepithelized. To prevent infection of the perforators and pedicles, we dissected a muscle cuff for the perforators and positioned the perforators near the edge of the flap. The postoperative courses were uneventful, and the patients gained almost normal function. ALT fasciocutaneous flaps are a feasible option for soft palatal reconstruction.

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Speech and swallowing following radial forearm flap reconstruction of major soft palate defects

Cited by 52 publications

References 15 publications

Functional Assessment and Rehabilitation

Functional Assessment and Rehabilitation

Transoral laser microsurgery for oropharyngeal squamous cell carcinoma: A paradigm shift in therapeutic approach

One‐sided soft palatal reconstruction with an anterolateral thigh fasciocutaneous flap: Report of two cases

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