RESUMO
Rehabilitation of major palatal ablative defects associated with lateral composite resection of the tonsil, base of tongue, and/or hemimandible is a difficult problem. Palatal reconstruction is described with emphasis on the compound medially based posterior pharyngeal, pectoralis major myocutaneous flap, which we have found to be an effective and reliable means of reconstructing these defects.
Assuntos
Faringe/transplante , Retalhos Cirúrgicos , HumanosAssuntos
Calcitonina/metabolismo , Faringe/embriologia , Glândula Tireoide/embriologia , Animais , Diferenciação Celular , Embrião de Galinha , Feminino , Feto , Camundongos , Faringe/citologia , Faringe/transplante , Gravidez , Glândula Tireoide/citologia , Glândula Tireoide/transplante , Transplante HeterólogoAssuntos
Fissura Palatina/cirurgia , Faringe/cirurgia , Criança , Humanos , Métodos , Faringe/transplante , Transplante AutólogoAssuntos
Fissura Palatina/cirurgia , Faringe/transplante , Adolescente , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Lactente , Masculino , Transplante AutólogoRESUMO
In an attempt to minimize postoperative scar contracture and shrinkage after a pharyngeal flap operation, a folded flap operation was devised. This operation was performed on 14 patients with velopharyngeal inadequacy. A superiorly-based flap was elevated from the posterior pharyngeal wall and was folded with the mucosa outside. The flap-velum connection was made through raw surfaces produced on each lateral ridge of the flap and the two penetrating incisions on the sides of the soft palate. In none of the cases did detachment of the flap or any other complications occur. This rather simple technique which aims to prevent scar contracture of the flap will permit further elaboration of the flap design-depending on the extent of velopharyngeal incompetence.
