지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 25 - 30 (6page)
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초록· 키워드
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Background : The soft palate functions as a valve and helps generate the oral pressure required for normal speech resonance. Speech problems and nasal regurgitation can result from a soft palatal defect. Reduction of the size of the velopharyngeal orifice is required to compensate for the lack of mobility in a reconstructed soft palate. We suggest a large volume folded free flap for reduction of the caliber and a palmaris longus tendon sling for suspension of the reconstructed palate. Methods : Six patients had total soft palate resection for tonsillar cancer and reconstruction with a large volume folded radial forearm free flap combined with a palmaris longus sling. A single surgeon and speech therapist examined the patients with three standardized speech assessment tools: nasometer test, consonant articulation test, and speech acuity test performed for speech evaluation. Results : Mean nasalance score was 76.20% for sentences with nasal sounds and 43.60% for sentences with oral sounds. Hypernasality was seen for oral sound sentences. The mean score of the picture consonant articulation test was 84% (range, 63% to 100%). The mean score of the speech acuity test was 5.84 (range, 5 to 6). These mean ratings represent a satisfactory level of speech function. Conclusions : The large volume folded free flap with a palmaris longus tendon sling for total soft palate reconstruction resulted in satisfactory prognosis for speech despite moderate hypernasality.
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참고문헌 (10)
참고문헌 신청
Seikaly H / 2003 / Functional outcomes after primary oropharyngeal cancer resection and reconstruction with the radial forearm free flap / Laryngoscope 113:897~904
Sinha UK / 2004 / Functional outcomes following palatal reconstruction with a folded radial forearm free flap / Ear Nose Throat J 83:45~48
Biglioli F / 2008 / The folded radial forearm flap in softpalate and tonsillary fossa reconstruction: technical note / Int J Oral Maxillofac Surg 37:76~81
Brown JS / 1997 / Functional outcome in soft palate reconstruction using a radial forearm free flap in conjunction with a superiorly based pharyngeal flap / Head Neck 19:524~534
McCombe D / 2005 / Speech and swallowing following radial forearm flap reconstruction of major soft palate defects / Br J Plast Surg 58:306~311
Sinha UK / 2004 / Functional outcomes following palatal reconstruction with a folded radial forearm free flap / Ear Nose Throat J 83:45~48
Biglioli F / 2008 / The folded radial forearm flap in softpalate and tonsillary fossa reconstruction: technical note / Int J Oral Maxillofac Surg 37:76~81
Brown JS / 1997 / Functional outcome in soft palate reconstruction using a radial forearm free flap in conjunction with a superiorly based pharyngeal flap / Head Neck 19:524~534
McCombe D / 2005 / Speech and swallowing following radial forearm flap reconstruction of major soft palate defects / Br J Plast Surg 58:306~311
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