Journal article

Speech and swallowing following radial forearm flap reconstruction of major soft palate defects

D McCombe, B Lyons, R Winkler, W Morrison

British Journal of Plastic Surgery | CHURCHILL LIVINGSTONE | Published : 2005


Velopharyngeal function is often compromised by the resection and reconstruction of oropharyngeal and palatal tumours. While free tissue transfer has improved the outcomes of head and neck reconstruction. In general, palatal reconstruction remains a challenge. Velopharyngeal function was analysed in eight patients following microsurgical reconstruction of defects of between 50 and 100% of the soft palate. The radial forearm fasciocutaneous free flap was used in all cases. The outcome of reconstruction was analysed by patient questionnaire and with standardised tests of speech and swallowing function. Velopharyngeal function post-operatively ranged from poor to near normal. Poor function appe..

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