Murakami Naoki, Fukuya Yasuhiko
Department of Plastic Reconstructive Surgery, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan.
Department of Plastic and Reconstructive Surgery, Ohta-Nishinouchi Hospital, Ohta General Hospital Foundation, Koriyama-shi, Fukushima, Japan.
Int J Surg Case Rep. 2018;49:17-20. doi: 10.1016/j.ijscr.2018.05.025. Epub 2018 Jun 8.
Schwannomas are benign tumors derived from Schwann cells. However, schwannomas in the soft palate is considered rare.
We report a case of a 17-year-old girl who presented with a 20-mm nodular lesion in the soft palate. After surgical resection, a buccinator musculomucosal flap was used for soft palate reconstruction. At 6 months post-operation, velopharyngeal insufficiency was not observed.
In this report, palatal muscles are examined, and the necessity of palatal muscle preservation and reconstruction of the defect in the soft palate mucosa after surgical resection of a schwannoma in the soft palate is presented.
Following resection of an approximately 20 × 19-mm-sized schwannoma of the soft palate, which is a relatively rare site of occurrence for schwannomas, we performed reconstruction of the defect using a BMMF to prevent scar contracture. This was an effective method of reconstruction in consideration of velopharyngeal function.
施万细胞瘤是源自施万细胞的良性肿瘤。然而，软腭施万细胞瘤被认为较为罕见。
我们报告一例17岁女孩，其软腭出现一个20毫米的结节性病变。手术切除后，采用颊肌黏膜瓣进行软腭重建。术后6个月，未观察到腭咽闭合不全。
在本报告中，对腭部肌肉进行了检查，并提出了在软腭施万细胞瘤手术切除后保留腭部肌肉及重建软腭黏膜缺损的必要性。
在切除软腭一个约20×19毫米大小的施万细胞瘤后（软腭是施万细胞瘤相对罕见的发病部位），我们使用颊肌黏膜瓣进行缺损重建以防止瘢痕挛缩。考虑到腭咽功能，这是一种有效的重建方法。
