Abstract
Soft palate (SP) reconstruction remains a challenge for the head and neck reconstructive surgeon. One favorable local flap option is the longus capitis muscle (LCM), a deep neck flexor with redundant muscle function, appropriate bulk, and a relatively straightforward surgical harvest. A retrospective review of 3 patients with T2 to T4 tonsil squamous cell carcinoma requiring SP resection and LCM reconstruction at a single institution was performed. Three patients underwent primary transoral resection, all resulting in at least 50% full-thickness SP defects. Reconstruction comprised a superiorly based LCM local flap. Patients underwent adjuvant (chemo)radiation therapy as indicated. Within 3 to 8 months, each patient was tolerating a full oral diet with no dysphagia, nasal regurgitation, or velopharyngeal insufficiency. For select patients with SP defects, a superiorly based LCM flap may provide a functionally acceptable reconstruction with minimal donor site morbidity.
Original language | English |
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Pages (from-to) | 536-538 |
Number of pages | 3 |
Journal | Otolaryngology - Head and Neck Surgery (United States) |
Volume | 161 |
Issue number | 3 |
DOIs | |
State | Published - Sep 1 2019 |
Keywords
- local flap
- longus capitis
- oropharynx cancer
- soft palate reconstruction
- transoral surgery