연구개 및 구개수 암종의 광범위 절제 및 국소 점막근 피판 재건술 1예

• 영문명: A Case of the Soft Palate Reconstruction Using the Bilateral Palatal Mucomuscular Flap and Pharyngeal Flap after Wide Resection
• 발행기관: 대한두경부종양학회
• 저자명: 구가영(Ga Young Gu) 이혜란(Hye Ran Lee) 장전엽(Jeon Yeob Jang)
• 간행물 정보: 『대한두경부종양학회지』대한두경부종양학회지 제38권 제1호, 31~35쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2022.05.30

영문 초록

The soft palate of carcinoma limited to the uvular region is infrequent among oropharyngeal cancers. The oropharynx regulates swallowing and speech through dynamic motions. Failure to reconstruct after surgical resection of the oropharynx structure can lead to permanent velopharyngeal insufficiency. Therefore, suitable reconstruction is important in establishing proper functional outcomes while maintaining oncological safety. We present a case of a 66-year-old male who was diagnosed with oropharynx cancer limited in the uvula accompanied by lymph node metastasis. After surgical resection, reconstruction was performed with the united arrangement of bilateral palatal mucomuscular flap and superiorly based posterior pharyngeal flap. There was no aspiration or reflux after feeding and epithelialization completely occurred after 1 month postoperatively. We report a successful case that the reconstruction with the local flap described above could preserve proper oropharyngeal function after primary surgery in small-sized oropharyngeal cancer.

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키워드

Soft palate reconstruction Pharyngeal flap Palatal flap Oropharyngeal cancer