Free flap for soft palate reconstruction: long-term functional evaluation of a new technique.

Details

Serval ID
serval:BIB_000D8903219E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Free flap for soft palate reconstruction: long-term functional evaluation of a new technique.
Journal
European archives of oto-rhino-laryngology
Author(s)
Colliard A., Pincet L., Simon C., May L., Lambercy K.
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
The soft palate (SP) has a complex anatomy and physiology. Reconstruction after tumour resection is a challenge, and procedures that only restore bulk don't give good results. We aim to present a new technique for the in-setting and the functional outcomes.
We retrospectively included in a monocentric retrospective cohort study every patient with a first diagnosis of a soft palate squamous cell carcinoma (SPSCC), who underwent a tumoral resection with a free flap reconstruction, from February 2013 to July 2017. For the in-setting, a special care is given for the flap in-setting: we suture the flap more caudally than usual under the tongue base, creating a neo-posterior pilar. The primary outcome was the deglutition function, assessed by the M. D Anderson Dysphagia Inventory (MDADI). We also analyzed the patient's quality of life with the FOSS score and the occurrence of nasal regurgitation or larynx aspiration.
We included twenty patients, with a median follow-up of 26.5 months. The median MDADI score was 89, and the mode was 93. A Fisher test shows a significant improvement of MDADI scores for unilateral vs bilateral reconstructions (p = 0.03). The median FOSS score was 2, and the mode was 2. Seven (35%) patients complained of nasal regurgitation, three (15%) reported episodic laryngeal aspiration.
Keywords
Carcinoma, Deglutition, Free flap, Head and neck neoplasms, Microsurgical, Reconstructive surgical procedure, Soft palate, Squamous cell
Pubmed
Web of science
Open Access
Yes
Create date
11/06/2021 16:44
Last modification date
05/11/2021 6:39
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