Elimination of palatal fistula after the maxillary swing procedure
Background. The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, the central skull base, and its vicinity. The reported incidence of postoperative palatal fistula has ranged from 20% to 25%. The oronasal incompetence especially associated with a large f...
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| Veröffentlicht in: | Head & neck 2005-07, Vol.27 (7), p.608-612 |
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| creator | Ng, Raymond W. M. Wei, William I. |
| description | Background.
The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, the central skull base, and its vicinity. The reported incidence of postoperative palatal fistula has ranged from 20% to 25%. The oronasal incompetence especially associated with a large fistula has adversely affected normal speech, eating, and swallowing functions. We describe a modified palatal incision to reduce the incidence of palatal fistula associated with the maxillary swing procedure.
Methods.
Fifteen consecutive patients who underwent maxillary swing procedures for salvage resection of recurrent nasopharyngeal carcinoma after radiotherapy had the modified palatal incision. The flap was raised as described, and the outcome was analyzed.
Results.
Fourteen patients' palatal wound healed uneventfully. One patient experienced partial flap necrosis, which healed with conservative treatment. All 15 patients tolerated oral feeding 1 week after the surgery. No palatal fistulas occurred.
Conclusion.
The modified palatal incision as described has effectively prevented palatal fistula formation after the maxillary swing procedure. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005 |
| doi_str_mv | 10.1002/hed.20220 |
| format | Article |
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The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, the central skull base, and its vicinity. The reported incidence of postoperative palatal fistula has ranged from 20% to 25%. The oronasal incompetence especially associated with a large fistula has adversely affected normal speech, eating, and swallowing functions. We describe a modified palatal incision to reduce the incidence of palatal fistula associated with the maxillary swing procedure.
Methods.
Fifteen consecutive patients who underwent maxillary swing procedures for salvage resection of recurrent nasopharyngeal carcinoma after radiotherapy had the modified palatal incision. The flap was raised as described, and the outcome was analyzed.
Results.
Fourteen patients' palatal wound healed uneventfully. One patient experienced partial flap necrosis, which healed with conservative treatment. All 15 patients tolerated oral feeding 1 week after the surgery. No palatal fistulas occurred.
Conclusion.
The modified palatal incision as described has effectively prevented palatal fistula formation after the maxillary swing procedure. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.20220</identifier><identifier>PMID: 15920745</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; Female ; Humans ; Male ; Maxilla - surgery ; maxillary swing ; Medical sciences ; modified ; Mouth Mucosa - surgery ; Nasopharyngeal Neoplasms - radiotherapy ; Nasopharyngeal Neoplasms - surgery ; Neoplasm Recurrence, Local - radiotherapy ; Neoplasm Recurrence, Local - surgery ; Oral Fistula - etiology ; Oral Fistula - prevention & control ; Oral Fistula - surgery ; Oral Surgical Procedures - adverse effects ; Oral Surgical Procedures - methods ; Otorhinolaryngology. Stomatology ; palatal incision ; Palate, Hard - surgery ; Palate, Soft - surgery ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Postoperative Complications - surgery ; Surgical Flaps ; Treatment Outcome</subject><ispartof>Head & neck, 2005-07, Vol.27 (7), p.608-612</ispartof><rights>Copyright © 2005 Wiley Periodicals, Inc.</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3910-9a1b52d78ab6182e654b8b175ff9b5e011b4d0264903c8366111b3bfab6cd44f3</citedby><cites>FETCH-LOGICAL-c3910-9a1b52d78ab6182e654b8b175ff9b5e011b4d0264903c8366111b3bfab6cd44f3</cites></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.20220$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.20220$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16911029$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15920745$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ng, Raymond W. M.</creatorcontrib><creatorcontrib>Wei, William I.</creatorcontrib><title>Elimination of palatal fistula after the maxillary swing procedure</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background.
The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, the central skull base, and its vicinity. The reported incidence of postoperative palatal fistula has ranged from 20% to 25%. The oronasal incompetence especially associated with a large fistula has adversely affected normal speech, eating, and swallowing functions. We describe a modified palatal incision to reduce the incidence of palatal fistula associated with the maxillary swing procedure.
Methods.
Fifteen consecutive patients who underwent maxillary swing procedures for salvage resection of recurrent nasopharyngeal carcinoma after radiotherapy had the modified palatal incision. The flap was raised as described, and the outcome was analyzed.
Results.
Fourteen patients' palatal wound healed uneventfully. One patient experienced partial flap necrosis, which healed with conservative treatment. All 15 patients tolerated oral feeding 1 week after the surgery. No palatal fistulas occurred.
Conclusion.
The modified palatal incision as described has effectively prevented palatal fistula formation after the maxillary swing procedure. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Maxilla - surgery</subject><subject>maxillary swing</subject><subject>Medical sciences</subject><subject>modified</subject><subject>Mouth Mucosa - surgery</subject><subject>Nasopharyngeal Neoplasms - radiotherapy</subject><subject>Nasopharyngeal Neoplasms - surgery</subject><subject>Neoplasm Recurrence, Local - radiotherapy</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Oral Fistula - etiology</subject><subject>Oral Fistula - prevention & control</subject><subject>Oral Fistula - surgery</subject><subject>Oral Surgical Procedures - adverse effects</subject><subject>Oral Surgical Procedures - methods</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>palatal incision</subject><subject>Palate, Hard - surgery</subject><subject>Palate, Soft - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Postoperative Complications - surgery</subject><subject>Surgical Flaps</subject><subject>Treatment Outcome</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtOwzAQRS0EorwW_ADKBiQWgfEjTr3kUQoCwQaExMZyEhsMTlLsRG3_HkNLWbGa0dWZuTMXoX0MJxiAnL7p6oQAIbCGtjCIPAXK8vXvntGUQs4GaDuEdwCgnJFNNMCZIFHOttD5yNnaNqqzbZO0JpkopzrlEmND1zuVKNNpn3RvOqnVzDqn_DwJU9u8JhPflrrqvd5FG0a5oPeWdQc9XY0eL67Tu4fxzcXZXVpSgSEVChcZqfKhKjgeEs0zVgwLnGfGiCLTgHHBKiCcCaDlkHKOo0ILE_GyYszQHXS02BudP3sdOlnbUOp4U6PbPkieCw4C4wgeL8DStyF4beTE2zpeLjHI78BkDEz-BBbZg-XSvqijuiKXCUXgcAmoUCpnvGpKG_44Hh2BiMidLripdXr-v6O8Hl3-WqeLiRi1nq0mlP-Ir9A8k8_3Y3n5QgR_obfykX4Bn-mPrA</recordid><startdate>200507</startdate><enddate>200507</enddate><creator>Ng, Raymond W. M.</creator><creator>Wei, William I.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley & Sons</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200507</creationdate><title>Elimination of palatal fistula after the maxillary swing procedure</title><author>Ng, Raymond W. M. ; Wei, William I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3910-9a1b52d78ab6182e654b8b175ff9b5e011b4d0264903c8366111b3bfab6cd44f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Maxilla - surgery</topic><topic>maxillary swing</topic><topic>Medical sciences</topic><topic>modified</topic><topic>Mouth Mucosa - surgery</topic><topic>Nasopharyngeal Neoplasms - radiotherapy</topic><topic>Nasopharyngeal Neoplasms - surgery</topic><topic>Neoplasm Recurrence, Local - radiotherapy</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Oral Fistula - etiology</topic><topic>Oral Fistula - prevention & control</topic><topic>Oral Fistula - surgery</topic><topic>Oral Surgical Procedures - adverse effects</topic><topic>Oral Surgical Procedures - methods</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>palatal incision</topic><topic>Palate, Hard - surgery</topic><topic>Palate, Soft - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Postoperative Complications - surgery</topic><topic>Surgical Flaps</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ng, Raymond W. M.</creatorcontrib><creatorcontrib>Wei, William I.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ng, Raymond W. M.</au><au>Wei, William I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elimination of palatal fistula after the maxillary swing procedure</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2005-07</date><risdate>2005</risdate><volume>27</volume><issue>7</issue><spage>608</spage><epage>612</epage><pages>608-612</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background.
The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, the central skull base, and its vicinity. The reported incidence of postoperative palatal fistula has ranged from 20% to 25%. The oronasal incompetence especially associated with a large fistula has adversely affected normal speech, eating, and swallowing functions. We describe a modified palatal incision to reduce the incidence of palatal fistula associated with the maxillary swing procedure.
Methods.
Fifteen consecutive patients who underwent maxillary swing procedures for salvage resection of recurrent nasopharyngeal carcinoma after radiotherapy had the modified palatal incision. The flap was raised as described, and the outcome was analyzed.
Results.
Fourteen patients' palatal wound healed uneventfully. One patient experienced partial flap necrosis, which healed with conservative treatment. All 15 patients tolerated oral feeding 1 week after the surgery. No palatal fistulas occurred.
Conclusion.
The modified palatal incision as described has effectively prevented palatal fistula formation after the maxillary swing procedure. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15920745</pmid><doi>10.1002/hed.20220</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Female Humans Male Maxilla - surgery maxillary swing Medical sciences modified Mouth Mucosa - surgery Nasopharyngeal Neoplasms - radiotherapy Nasopharyngeal Neoplasms - surgery Neoplasm Recurrence, Local - radiotherapy Neoplasm Recurrence, Local - surgery Oral Fistula - etiology Oral Fistula - prevention & control Oral Fistula - surgery Oral Surgical Procedures - adverse effects Oral Surgical Procedures - methods Otorhinolaryngology. Stomatology palatal incision Palate, Hard - surgery Palate, Soft - surgery Postoperative Complications - etiology Postoperative Complications - prevention & control Postoperative Complications - surgery Surgical Flaps Treatment Outcome |
| title | Elimination of palatal fistula after the maxillary swing procedure |
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