論文

査読有り 国際誌
2020年8月19日

Primary Closure With Posteriorly Based Lateral Tongue Flap Reconstruction After Transoral Videolaryngoscopic Surgery for Tonsil Cancer.

Ear, nose, & throat journal
  • Kazunori Fujiwara
  • ,
  • Satoshi Koyama
  • ,
  • Takahiro Fukuhara
  • ,
  • Ryohei Donishi
  • ,
  • Tsuyoshi Morisaki
  • ,
  • Hideyuki Kataoka
  • ,
  • Hiromi Takauchi

開始ページ
145561320949692
終了ページ
145561320949692
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/0145561320949692

INTRODUCTION: Transoral surgery for head and neck cancer provides excellent oncologic outcomes while preserving speech and swallowing function. When neck dissection and resection of oropharynx are performed concomitantly, there is a risk of creating a communication defect or developing a pharyngocutaneous fistula. To prevent pharyngocutaneous fistula, we performed the reconstruction using a posteriorly based lateral tongue flap for communication defect. PATIENT: A 72-year-old male with oropharyngeal cancer (tonsil cancer) T2N1M0 underwent concomitant transoral videolaryngoscopic surgery and neck dissection. The lateral wall of the oropharynx was resected with the pharynx constrictor muscle and parapharyngeal fat due to infiltration of the parapharyngeal space by the tonsil cancer. The posteriorly based lateral tongue flap was used to close the perforation. There was no leakage to the neck postoperatively. The patient had no problem with phonation or oral intake and remained free of disease at 12 months after treatment. CONCLUSION: For a small defect confined to the oropharyngeal lateral wall, the posteriorly based lateral tongue flap should be considered as a useful option for reconstruction of the oropharynx without impairment of posterior function.

リンク情報
DOI
https://doi.org/10.1177/0145561320949692
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32813988
ID情報
  • DOI : 10.1177/0145561320949692
  • PubMed ID : 32813988

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