Velopharyngeal function after free thoracodorsal artery perforator flap in lateral and superior oropharyngeal cancer

被引：0
作者：
Christine A. Bach
I. Wagner
J. L. Pigot
A. Guth
Y. Denoux
F. Chabolle
机构：
[1] Hôpital Foch,
[2] Service de Chirurgie ORL et Cervico-faciale,undefined
[3] Université de Versailles Saint-Quentin en Yvelines,undefined
[4] UFR de Médecine Paris Ouest Saint-Quentin en Yvelines,undefined
[5] Hôpital Foch,undefined
[6] Service de Stomatologie,undefined
[7] Hôpital Foch,undefined
[8] Service de Radiologie,undefined
[9] Hôpital Foch,undefined
[10] Service d’Anatomo-pathologie,undefined
来源：
European Archives of Oto-Rhino-Laryngology | 2015年 / 272卷
关键词：
Thoracodorsal artery perforator flap; Oropharyngeal cancer; Squamous cell carcinoma; Velopharyngeal function; Reconstruction;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The purpose of this study was to report our experience with the free thoracodorsal artery perforator flap for reconstruction of the oropharynx and soft palate in head and neck cancer using a retrospective review of the medical charts of all patients undergoing oropharyngeal reconstruction by free thoracodorsal artery perforator flap during the same procedure as cancer resection between January 2011 and April 2013. Evaluation of speech, feeding and the presence of nasal emissions was performed 6 months after treatment in accordance with the Declaration of Helsinki. Nine patients were evaluated. Clear understanding of the patient was reported by the family and the examiner for seven patients, while understanding difficulties were reported for two patients (1 case of flap dehiscence and 1 technical error of flap fixation). The results indicated that, due to its complex anatomy and function, reconstruction of the soft palate remains a delicate procedure. The free thoracodorsal artery perforator flap allows functional soft palate reconstruction, while limiting donor site morbidity.
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页码：3019 / 3026
页数：7
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