임상

인두 근점막피판을 이용한 연구개 재건 1례

백무진1, 장민혁1, 이윤우1, 고의경1, 왕수건1, 전경명1
Moo Jin Back1, Min Hyeog Jang1, Yun Woo Lee1, Eui Kyung Goh1, Soo Geun Wang1, Kyong Myong Chon1
Author Information & Copyright
1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College Medicine, Pusan National University

© Copyright 1991 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

Abstract

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.

Keywords: Soft palate tumor; Pharyngeal flap