Techniques and outcomes in microsurgical soft palate reconstruction
Introduction The soft palate is a multilayered intrinsically mobile structure, with a critical role in maintaining the airway, swallowing, and speech. We describe our technique of microsurgical reconstruction and analyze patient reported outcomes. Methods A retrospective analysis was performed using...
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| Veröffentlicht in: | Head & neck 2019-07, Vol.41 (7), p.2085-2092 |
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| creator | Fries, Charles Anton Al Deek, Nidal Wei, Fu‐Chan |
| description | Introduction
The soft palate is a multilayered intrinsically mobile structure, with a critical role in maintaining the airway, swallowing, and speech. We describe our technique of microsurgical reconstruction and analyze patient reported outcomes.
Methods
A retrospective analysis was performed using the University of Washington head and neck disease specific Quality of Life (UWQOL) questionnaire and the Hirose Standard speech analysis tool. Swallowing function and diet were recorded.
Results
Twenty cases were reviewed; nine were available for post hoc analysis. Anterolateral thigh flaps were used in 19 cases, in combination with vastus lateralis muscle in 5 cases.
Speech intelligibility was graded “excellent” in 8 of 9 cases and moderate in 1 of 9. All tolerated an oral diet. Mean UWQOL score was 424.4/600 (SD ± 141.9) for physical and 461.7/600 (SD ± 141.9) for emotional‐social domains.
Conclusion
Reconstruction of the soft palate using velopharyngeal narrowing with free anterolateral thigh flap delivers good functional outcomes. |
| doi_str_mv | 10.1002/hed.25662 |
| format | Article |
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The soft palate is a multilayered intrinsically mobile structure, with a critical role in maintaining the airway, swallowing, and speech. We describe our technique of microsurgical reconstruction and analyze patient reported outcomes.
Methods
A retrospective analysis was performed using the University of Washington head and neck disease specific Quality of Life (UWQOL) questionnaire and the Hirose Standard speech analysis tool. Swallowing function and diet were recorded.
Results
Twenty cases were reviewed; nine were available for post hoc analysis. Anterolateral thigh flaps were used in 19 cases, in combination with vastus lateralis muscle in 5 cases.
Speech intelligibility was graded “excellent” in 8 of 9 cases and moderate in 1 of 9. All tolerated an oral diet. Mean UWQOL score was 424.4/600 (SD ± 141.9) for physical and 461.7/600 (SD ± 141.9) for emotional‐social domains.
Conclusion
Reconstruction of the soft palate using velopharyngeal narrowing with free anterolateral thigh flap delivers good functional outcomes.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.25662</identifier><identifier>PMID: 30693590</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>anterolateral thigh flap ; Diet ; Head and neck ; head and neck reconstruction ; Mouth ; Oral cancer ; Palate ; patient reported outcomes ; Quality of life ; Respiratory tract ; soft palate cancer ; soft palate reconstruction ; Speech ; Swallowing ; University of Washington Quality of Life score</subject><ispartof>Head & neck, 2019-07, Vol.41 (7), p.2085-2092</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-1034fd84b9bdd4c16821cf061bb46e046c794b81e20765dc90c197e69b4ac25d3</citedby><cites>FETCH-LOGICAL-c3532-1034fd84b9bdd4c16821cf061bb46e046c794b81e20765dc90c197e69b4ac25d3</cites><orcidid>0000-0003-1609-1237</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.25662$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.25662$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30693590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fries, Charles Anton</creatorcontrib><creatorcontrib>Al Deek, Nidal</creatorcontrib><creatorcontrib>Wei, Fu‐Chan</creatorcontrib><title>Techniques and outcomes in microsurgical soft palate reconstruction</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Introduction
The soft palate is a multilayered intrinsically mobile structure, with a critical role in maintaining the airway, swallowing, and speech. We describe our technique of microsurgical reconstruction and analyze patient reported outcomes.
Methods
A retrospective analysis was performed using the University of Washington head and neck disease specific Quality of Life (UWQOL) questionnaire and the Hirose Standard speech analysis tool. Swallowing function and diet were recorded.
Results
Twenty cases were reviewed; nine were available for post hoc analysis. Anterolateral thigh flaps were used in 19 cases, in combination with vastus lateralis muscle in 5 cases.
Speech intelligibility was graded “excellent” in 8 of 9 cases and moderate in 1 of 9. All tolerated an oral diet. Mean UWQOL score was 424.4/600 (SD ± 141.9) for physical and 461.7/600 (SD ± 141.9) for emotional‐social domains.
Conclusion
Reconstruction of the soft palate using velopharyngeal narrowing with free anterolateral thigh flap delivers good functional outcomes.</description><subject>anterolateral thigh flap</subject><subject>Diet</subject><subject>Head and neck</subject><subject>head and neck reconstruction</subject><subject>Mouth</subject><subject>Oral cancer</subject><subject>Palate</subject><subject>patient reported outcomes</subject><subject>Quality of life</subject><subject>Respiratory tract</subject><subject>soft palate cancer</subject><subject>soft palate reconstruction</subject><subject>Speech</subject><subject>Swallowing</subject><subject>University of Washington Quality of Life score</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kE9LwzAYh4Mobk4PfgEpeNFDtzd_mrZHmdMJAy_zHNI0dRltM5MW2bc3ddtF8PTmDQ8Pv_eH0C2GKQYgs40upyThnJyhMYY8jYGy9Hx4MxpTSNkIXXm_BQDKGblEIwo8p0kOYzRfa7VpzVevfSTbMrJ9p2wTFtNGjVHO-t59GiXryNuqi3aylp2OnFa29Z3rVWdse40uKll7fXOcE_TxsljPl_Hq_fVt_rSKFU0oiXFIVZUZK_KiLJnCPCNYVcBxUTCugXGV5qzIsCaQ8qRUOSicp5rnBZOKJCWdoIeDd-fsELgTjfFK17Vste29IDgIEoxpFtD7P-jW9q4N6QQhDJMsy1IWqMcDNdzpna7EzplGur3AIIZmRWhW_DYb2LujsS-a8HsiT1UGYHYAvk2t9_-bxHLxfFD-AFX4gTA</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Fries, Charles Anton</creator><creator>Al Deek, Nidal</creator><creator>Wei, Fu‐Chan</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1609-1237</orcidid></search><sort><creationdate>201907</creationdate><title>Techniques and outcomes in microsurgical soft palate reconstruction</title><author>Fries, Charles Anton ; Al Deek, Nidal ; Wei, Fu‐Chan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-1034fd84b9bdd4c16821cf061bb46e046c794b81e20765dc90c197e69b4ac25d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>anterolateral thigh flap</topic><topic>Diet</topic><topic>Head and neck</topic><topic>head and neck reconstruction</topic><topic>Mouth</topic><topic>Oral cancer</topic><topic>Palate</topic><topic>patient reported outcomes</topic><topic>Quality of life</topic><topic>Respiratory tract</topic><topic>soft palate cancer</topic><topic>soft palate reconstruction</topic><topic>Speech</topic><topic>Swallowing</topic><topic>University of Washington Quality of Life score</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fries, Charles Anton</creatorcontrib><creatorcontrib>Al Deek, Nidal</creatorcontrib><creatorcontrib>Wei, Fu‐Chan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fries, Charles Anton</au><au>Al Deek, Nidal</au><au>Wei, Fu‐Chan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Techniques and outcomes in microsurgical soft palate reconstruction</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2019-07</date><risdate>2019</risdate><volume>41</volume><issue>7</issue><spage>2085</spage><epage>2092</epage><pages>2085-2092</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Introduction
The soft palate is a multilayered intrinsically mobile structure, with a critical role in maintaining the airway, swallowing, and speech. We describe our technique of microsurgical reconstruction and analyze patient reported outcomes.
Methods
A retrospective analysis was performed using the University of Washington head and neck disease specific Quality of Life (UWQOL) questionnaire and the Hirose Standard speech analysis tool. Swallowing function and diet were recorded.
Results
Twenty cases were reviewed; nine were available for post hoc analysis. Anterolateral thigh flaps were used in 19 cases, in combination with vastus lateralis muscle in 5 cases.
Speech intelligibility was graded “excellent” in 8 of 9 cases and moderate in 1 of 9. All tolerated an oral diet. Mean UWQOL score was 424.4/600 (SD ± 141.9) for physical and 461.7/600 (SD ± 141.9) for emotional‐social domains.
Conclusion
Reconstruction of the soft palate using velopharyngeal narrowing with free anterolateral thigh flap delivers good functional outcomes.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>30693590</pmid><doi>10.1002/hed.25662</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1609-1237</orcidid></addata></record> |
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| issn | 1043-3074 1097-0347 |
| language | eng |
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| source | Access via Wiley Online Library |
| subjects | anterolateral thigh flap Diet Head and neck head and neck reconstruction Mouth Oral cancer Palate patient reported outcomes Quality of life Respiratory tract soft palate cancer soft palate reconstruction Speech Swallowing University of Washington Quality of Life score |
| title | Techniques and outcomes in microsurgical soft palate reconstruction |
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