显微外科软腭重建技术及疗效。

Techniques and outcomes in microsurgical soft palate reconstruction.

机构信息

Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University and Medical College, Taoyuan, Taiwan.

Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

出版信息

Head Neck. 2019 Jul;41(7):2085-2092. doi: 10.1002/hed.25662. Epub 2019 Jan 28.

DOI:10.1002/hed.25662

PMID:30693590

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.

摘要

简介

软腭是一种具有多层结构的固有可移动结构，在维持气道、吞咽和言语方面起着关键作用。我们描述了我们的显微重建技术，并分析了患者报告的结果。

方法

使用华盛顿大学头颈部疾病特异性生活质量（UWQOL）问卷和广濑标准语音分析工具对 20 例患者进行回顾性分析，其中 9 例可进行事后分析。19 例患者使用股前外侧皮瓣，5 例患者联合使用股外侧肌。9 例中的 8 例语音清晰度评定为“优秀”，9 例中的 1 例为“中等”。所有患者均能耐受口服饮食。生理领域的平均 UWQOL 评分为 424.4/600（SD±141.9），情感-社交领域的平均 UWQOL 评分为 461.7/600（SD±141.9）。