Excision of the tonsillary fossa and soft palate leaves functional sequelae unless followed by a well-planned reconstruction phase. This must aim at restoring the pharyngeo-palatal structure, covering the dissected surfaces, and restoring continuity to the lingual and inferior alveolar nerves when these are sectioned. A reconstruction model of this complex three-dimensional anatomical area is proposed that uses a microvascular fasciocutaneous forearm flap adapted to the individual patient. Twelve patients were operated on, following this model. All flaps survived intact. Velopharyngeal function was optimal in 11 cases (92%), suboptimal in 1 case. Patients also achieved good functional recovery (speech, swallowing and chewing). Careful three-dimensional planning of reconstruction for the tonsillary and soft-palate area makes it possible to restore velopharyngeal function to levels close to the preoperative situation.

The folded radial forearm flap in soft-palate and tonsillary fossa reconstruction : technical note / F. Biglioli, R. Brusati. - In: INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY. - ISSN 0901-5027. - 37:1(2008), pp. 76-81.

The folded radial forearm flap in soft-palate and tonsillary fossa reconstruction : technical note

F. Biglioli
Primo
;
R. Brusati
Ultimo
2008

Abstract

Excision of the tonsillary fossa and soft palate leaves functional sequelae unless followed by a well-planned reconstruction phase. This must aim at restoring the pharyngeo-palatal structure, covering the dissected surfaces, and restoring continuity to the lingual and inferior alveolar nerves when these are sectioned. A reconstruction model of this complex three-dimensional anatomical area is proposed that uses a microvascular fasciocutaneous forearm flap adapted to the individual patient. Twelve patients were operated on, following this model. All flaps survived intact. Velopharyngeal function was optimal in 11 cases (92%), suboptimal in 1 case. Patients also achieved good functional recovery (speech, swallowing and chewing). Careful three-dimensional planning of reconstruction for the tonsillary and soft-palate area makes it possible to restore velopharyngeal function to levels close to the preoperative situation.
Settore MED/29 - Chirurgia Maxillofacciale
2008
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/44102
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