인두 근점막피판을 이용한 연구개 재건 1례

Tumor arising from soft palate is well controlled by surgical resection only. But surgical defects of the soft palate after resection of palatal tumors interfere with normal velopharyngeal funcion because of inadequate oronasal separation resulting in a leak of air and fluid into the nasopharynx and nose. In order to solve this problem, we tried to immediately repair of defect of the soft palate using a superilorly based myomucosal flap obtained form the posterior pharyngeal wall. The flap is tubed and sutured to defect of soft palate and leave choanae bilaterally. The result was satisfactory and patient had restored velopharyngeal function with nearly normal speech, swallowing and nasal breathing.