Functional soft palate reconstruction: A comprehensive surgical approach
Identifieur interne : 002A21 ( Istex/Corpus ); précédent : 002A20; suivant : 002A22Functional soft palate reconstruction: A comprehensive surgical approach
Auteurs : Hadi Seikaly ; Jana Rieger ; Jana Zalmanowitz ; Judith Lam Tang ; Khalid Alkahtani ; Khalid Ansari ; Daniel O'Connell ; Gerald Moysa ; Jeffrey HarrisSource :
- Head & Neck [ 1043-3074 ] ; 2008-12.
English descriptors
- KwdEn :
- Alberta, Anatomic relations, Anterior subdermal, Bolus, Bromuscular structure, Cancer surveillance, Closure, Comprehensive reconstructive protocol, December, Defect, Diet consistency, Different sizes, Early postoperative visit, Evaluation point, Evaluation time, Forearm, Functional outcomes, Head december, Head neck, Inferior border, Intelligibility, Microvascular reconstruction, Nasal, Nasal cavities, Nasal cavity, Nasal patency, Nasopharyngeal, Nasopharyngeal defect, Nasopharynx, Neck surgery, Normal intelligibility, Online issue, Oral cavity structures, Oral maxillofac surg, Overlying mucosa, Palate, Palate defect, Palate defects, Palate reconstruction, Palate reconstruction head december, Particular assessment, Patency, Phar, Pharyngeal, Plast surg, Posterior aspect, Posterior pharyngeal wall, Postoperative, Postoperative assessment times, Postoperative visit, Preoperative, Primary closure, Primary nutrition, Primary reconstruction, Prosthetic, Prosthetic treatment, Puree diet, Radial, Radial forearm, Reconstruction, Reconstructive, Resection, Right side, Small nasopharyngeal port, Small subdermal, Soft palate, Soft palate defect, Soft palate defects, Soft palate reconstruction, Soft palate resected, Speech intelligibility, Spir, Standard protocol, Superior constrictor, Superior constrictor muscle, Surg, Surgical, Surgical reconstruction, Surgical technique, Surgical techniques, Timely restoration, Tongue defects, Total sample, Unintelligible speech, Wiley periodicals.
- Teeft :
- Alberta, Anatomic relations, Anterior subdermal, Bolus, Bromuscular structure, Cancer surveillance, Closure, Comprehensive reconstructive protocol, December, Defect, Diet consistency, Different sizes, Early postoperative visit, Evaluation point, Evaluation time, Forearm, Functional outcomes, Head december, Head neck, Inferior border, Intelligibility, Microvascular reconstruction, Nasal, Nasal cavities, Nasal cavity, Nasal patency, Nasopharyngeal, Nasopharyngeal defect, Nasopharynx, Neck surgery, Normal intelligibility, Online issue, Oral cavity structures, Oral maxillofac surg, Overlying mucosa, Palate, Palate defect, Palate defects, Palate reconstruction, Palate reconstruction head december, Particular assessment, Patency, Phar, Pharyngeal, Plast surg, Posterior aspect, Posterior pharyngeal wall, Postoperative, Postoperative assessment times, Postoperative visit, Preoperative, Primary closure, Primary nutrition, Primary reconstruction, Prosthetic, Prosthetic treatment, Puree diet, Radial, Radial forearm, Reconstruction, Reconstructive, Resection, Right side, Small nasopharyngeal port, Small subdermal, Soft palate, Soft palate defect, Soft palate defects, Soft palate reconstruction, Soft palate resected, Speech intelligibility, Spir, Standard protocol, Superior constrictor, Superior constrictor muscle, Surg, Surgical, Surgical reconstruction, Surgical technique, Surgical techniques, Timely restoration, Tongue defects, Total sample, Unintelligible speech, Wiley periodicals.
Abstract
Dysfunction of the soft palate is devastating to the patient's quality of life, resulting in unintelligible speech and poor swallowing. Reconstruction of the soft palate is complex because the dynamic fibromuscular structure cannot be duplicated. The efficacy of soft palate reconstruction has therefore been called into question. The purpose of this article is: (1) to describe our comprehensive surgical paradigm for soft palate reconstruction, (2) to provide details of the surgical techniques used, and (3) to report on patient functional outcomes.
Url:
DOI: 10.1002/hed.20919
Links to Exploration step
ISTEX:55CB4FA42F683FA5F0EBFCB7F7D7B2FB912C9CC3Le document en format XML
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hadiseikaly@cha.ab.ca</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</mods:affiliation></affiliation></author><author><name sortKey="Rieger, Jana" sort="Rieger, Jana" uniqKey="Rieger J" first="Jana" last="Rieger">Jana Rieger</name><affiliation><mods:affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada</mods:affiliation></affiliation></author><author><name sortKey="Zalmanowitz, Jana" sort="Zalmanowitz, Jana" uniqKey="Zalmanowitz J" first="Jana" last="Zalmanowitz">Jana Zalmanowitz</name><affiliation><mods:affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</mods:affiliation></affiliation></author><author><name sortKey="Tang, Judith Lam" sort="Tang, Judith Lam" uniqKey="Tang J" first="Judith Lam" last="Tang">Judith Lam Tang</name><affiliation><mods:affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</mods:affiliation></affiliation></author><author><name sortKey="Alkahtani, Khalid" sort="Alkahtani, Khalid" uniqKey="Alkahtani K" first="Khalid" last="Alkahtani">Khalid Alkahtani</name><affiliation><mods:affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</mods:affiliation></affiliation></author><author><name sortKey="Ansari, Khalid" sort="Ansari, Khalid" uniqKey="Ansari K" first="Khalid" last="Ansari">Khalid Ansari</name><affiliation><mods:affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</mods:affiliation></affiliation></author><author><name 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life, resulting in unintelligible speech and poor swallowing. Reconstruction of the soft palate is complex because the dynamic fibromuscular structure cannot be duplicated. The efficacy of soft palate reconstruction has therefore been called into question. The purpose of this article is: (1) to describe our comprehensive surgical paradigm for soft palate reconstruction, (2) to provide details of the surgical techniques used, and (3) to report on patient functional outcomes.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>soft palate</json:string><json:string>postoperative</json:string><json:string>radial forearm</json:string><json:string>spir</json:string><json:string>pharyngeal</json:string><json:string>palate</json:string><json:string>soft palate reconstruction</json:string><json:string>nasopharyngeal</json:string><json:string>phar</json:string><json:string>nasopharynx</json:string><json:string>preoperative</json:string><json:string>prosthetic</json:string><json:string>december</json:string><json:string>intelligibility</json:string><json:string>surg</json:string><json:string>alberta</json:string><json:string>bolus</json:string><json:string>postoperative 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subdermal</json:string><json:string>nasopharyngeal defect</json:string><json:string>small nasopharyngeal port</json:string><json:string>right side</json:string><json:string>surgical reconstruction</json:string><json:string>evaluation point</json:string><json:string>cancer surveillance</json:string><json:string>unintelligible speech</json:string><json:string>particular assessment</json:string><json:string>nasal cavities</json:string><json:string>palate defects</json:string><json:string>prosthetic treatment</json:string><json:string>primary nutrition</json:string><json:string>standard protocol</json:string><json:string>postoperative assessment times</json:string><json:string>inferior border</json:string><json:string>nasal cavity</json:string><json:string>oral cavity structures</json:string><json:string>puree diet</json:string><json:string>bromuscular structure</json:string><json:string>primary reconstruction</json:string><json:string>oral maxillofac surg</json:string><json:string>different sizes</json:string></teeft></keywords><author><json:item><name>Hadi Seikaly MD, FRCSC</name><affiliations><json:string>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</json:string><json:string>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</json:string><json:string>E-mail: hadiseikaly@cha.ab.ca</json:string><json:string>Correspondence address: Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Jana Rieger PhD</name><affiliations><json:string>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</json:string><json:string>Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Jana Zalmanowitz BA</name><affiliations><json:string>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Judith Lam Tang MSc</name><affiliations><json:string>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Khalid Alkahtani MD</name><affiliations><json:string>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Khalid Ansari MD, FRCSC</name><affiliations><json:string>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Daniel O'Connell MD</name><affiliations><json:string>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Gerald Moysa MD, FRCSC</name><affiliations><json:string>Division of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada</json:string></affiliations></json:item><json:item><name>Jeffrey Harris MD, FRCSC</name><affiliations><json:string>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</json:string><json:string>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>microvascular reconstruction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>soft palate</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>radial forearm free flap</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>speech</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>swallowing</value></json:item></subject><articleId><json:string>HED20919</json:string></articleId><arkIstex>ark:/67375/WNG-7XN5MZG6-8</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Dysfunction of the soft palate is devastating to the patient's quality of life, resulting in unintelligible speech and poor swallowing. Reconstruction of the soft palate is complex because the dynamic fibromuscular structure cannot be duplicated. The efficacy of soft palate reconstruction has therefore been called into question. The purpose of this article is: (1) to describe our comprehensive surgical paradigm for soft palate reconstruction, (2) to provide details of the surgical techniques used, and (3) to report on patient functional outcomes.</abstract><qualityIndicators><score>7.171</score><pdfWordCount>4199</pdfWordCount><pdfCharCount>27111</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>81</abstractWordCount><abstractCharCount>552</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Functional soft palate reconstruction: A comprehensive surgical approach</title><pmid><json:string>18798302</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Head & Neck</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1097-0347</json:string></doi><issn><json:string>1043-3074</json:string></issn><eissn><json:string>1097-0347</json:string></eissn><publisherId><json:string>HED</json:string></publisherId><volume>30</volume><issue>12</issue><pages><first>1615</first><last>1623</last><total>9</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Original Article</value></json:item></subject></host><namedEntities><unitex><date><json:string>December 2008 1619</json:string><json:string>December 2008 1621</json:string><json:string>1616</json:string><json:string>between May 2001 and June 2006</json:string><json:string>December 2008 1617</json:string><json:string>2008</json:string></date><geogName></geogName><orgName><json:string>Canada Accepted</json:string><json:string>Division of Plastic Surgery</json:string><json:string>University of Alberta</json:string><json:string>Wiley 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xml:lang="en">Functional soft palate reconstruction: A comprehensive surgical approach</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><licence>Copyright © 2008 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2008-12"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main" xml:lang="en">Functional soft palate reconstruction: A comprehensive surgical approach</title><title level="a" type="short" xml:lang="en">Functional Soft Palate Reconstruction</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Hadi</forename><surname>Seikaly</surname><roleName type="degree">MD, FRCSC</roleName></persName><email>hadiseikaly@cha.ab.ca</email><affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation><affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation><affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Jana</forename><surname>Rieger</surname><roleName type="degree">PhD</roleName></persName><affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation><affiliation>Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Jana</forename><surname>Zalmanowitz</surname><roleName type="degree">BA</roleName></persName><affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Judith Lam</forename><surname>Tang</surname><roleName type="degree">MSc</roleName></persName><affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Khalid</forename><surname>Alkahtani</surname><roleName type="degree">MD</roleName></persName><affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Khalid</forename><surname>Ansari</surname><roleName type="degree">MD, FRCSC</roleName></persName><affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Daniel</forename><surname>O'Connell</surname><roleName type="degree">MD</roleName></persName><affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">Gerald</forename><surname>Moysa</surname><roleName type="degree">MD, FRCSC</roleName></persName><affiliation>Division of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><author xml:id="author-0008"><persName><forename type="first">Jeffrey</forename><surname>Harris</surname><roleName type="degree">MD, FRCSC</roleName></persName><affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation><affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada<address><country key="CA"></country></address></affiliation></author><idno type="istex">55CB4FA42F683FA5F0EBFCB7F7D7B2FB912C9CC3</idno><idno type="ark">ark:/67375/WNG-7XN5MZG6-8</idno><idno type="DOI">10.1002/hed.20919</idno><idno type="unit">HED20919</idno><idno type="toTypesetVersion">file:HED.HED20919.pdf</idno></analytic><monogr><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="pISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><idno type="book-DOI">10.1002/(ISSN)1097-0347</idno><idno type="book-part-DOI">10.1002/hed.v30:12</idno><idno type="product">HED</idno><imprint><biblScope unit="vol">30</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1615">1615</biblScope><biblScope unit="page" to="1623">1623</biblScope><biblScope unit="page-count">9</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
Background.
<p>Dysfunction of the soft palate is devastating to the patient's quality of life, resulting in unintelligible speech and poor swallowing. Reconstruction of the soft palate is complex because the dynamic fibromuscular structure cannot be duplicated. The efficacy of soft palate reconstruction has therefore been called into question. The purpose of this article is: (1) to describe our comprehensive surgical paradigm for soft palate reconstruction, (2) to provide details of the surgical techniques used, and (3) to report on patient functional outcomes.</p>
Methods.
<p>Fifty‐two patients spanning 3 different size‐based categories of soft palate reconstruction were included in the final analysis. Using videofluoroscopic studies of swallowing, the presence of nasopharyngeal reflux and any instance of aspiration of a bolus into the airway was noted. In addition, a simple diet survey was completed, and the use of a g‐tube was noted.</p>
Results.
<p>The results revealed that our protocol for soft palate reconstruction provided the majority of our patients with separation of the oropharynx and nasopharynx, while maintaining nasal patency. Restoration of swallowing function was timely, with 91% of the patients returning to an oral diet at the early postoperative visit and only 14% of patients demonstrating mild nasopharyngeal reflux.</p>
Conclusion.
<p>We have developed a comprehensive reconstructive protocol that provides patients with separation of the oropharynx and nasopharynx, while maintaining nasal patency. Restoration of function is timely, with reestablishment of normal intelligibility and resonance of speech as well as safe and efficient swallowing function. © 2008 Wiley Periodicals, Inc. Head Neck, 2008</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">microvascular reconstruction</term><term xml:id="kwd2">soft palate</term><term xml:id="kwd3">radial forearm free flap</term><term xml:id="kwd4">speech</term><term xml:id="kwd5">swallowing</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/55CB4FA42F683FA5F0EBFCB7F7D7B2FB912C9CC3/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" 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position="110" status="forIssue"><doi origin="wiley" registered="yes">10.1002/hed.20919</doi><idGroup><id type="unit" value="HED20919"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="publisher">Copyright © 2008 Wiley Periodicals, Inc.</copyright><eventGroup><event type="manuscriptAccepted" date="2008-05-19"></event><event type="publishedOnlineEarlyUnpaginated" date="2008-09-16"></event><event type="firstOnline" date="2008-09-16"></event><event type="publishedOnlineFinalForm" date="2008-11-07"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-06"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-27"></event><event type="xmlConverted" 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countryCode="CA" type="organization"><unparsedAffiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="CA" type="organization"><unparsedAffiliation>Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="CA" type="organization"><unparsedAffiliation>Division of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">microvascular reconstruction</keyword><keyword xml:id="kwd2">soft palate</keyword><keyword xml:id="kwd3">radial forearm free flap</keyword><keyword xml:id="kwd4">speech</keyword><keyword xml:id="kwd5">swallowing</keyword></keywordGroup><fundingInfo><fundingAgency>Alberta Heritage Foundation for Medical Research</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background.</title><p>Dysfunction of the soft palate is devastating to the patient's quality of life, resulting in unintelligible speech and poor swallowing. Reconstruction of the soft palate is complex because the dynamic fibromuscular structure cannot be duplicated. The efficacy of soft palate reconstruction has therefore been called into question. The purpose of this article is: (1) to describe our comprehensive surgical paradigm for soft palate reconstruction, (2) to provide details of the surgical techniques used, and (3) to report on patient functional outcomes.</p></section><section xml:id="abs1-2"><title type="main">Methods.</title><p>Fifty‐two patients spanning 3 different size‐based categories of soft palate reconstruction were included in the final analysis. Using videofluoroscopic studies of swallowing, the presence of nasopharyngeal reflux and any instance of aspiration of a bolus into the airway was noted. In addition, a simple diet survey was completed, and the use of a g‐tube was noted.</p></section><section xml:id="abs1-3"><title type="main">Results.</title><p>The results revealed that our protocol for soft palate reconstruction provided the majority of our patients with separation of the oropharynx and nasopharynx, while maintaining nasal patency. Restoration of swallowing function was timely, with 91% of the patients returning to an oral diet at the early postoperative visit and only 14% of patients demonstrating mild nasopharyngeal reflux.</p></section><section xml:id="abs1-4"><title type="main">Conclusion.</title><p>We have developed a comprehensive reconstructive protocol that provides patients with separation of the oropharynx and nasopharynx, while maintaining nasal patency. Restoration of function is timely, with reestablishment of normal intelligibility and resonance of speech as well as safe and efficient swallowing function. © 2008 Wiley Periodicals, Inc. Head Neck, 2008</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Functional soft palate reconstruction: A comprehensive surgical approach</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Functional Soft Palate Reconstruction</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Functional soft palate reconstruction: A comprehensive surgical approach</title></titleInfo><name type="personal"><namePart type="given">Hadi</namePart><namePart type="family">Seikaly</namePart><namePart type="termsOfAddress">MD, FRCSC</namePart><affiliation>Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada</affiliation><affiliation>Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit (COMPRU), Edmonton, Alberta, Canada</affiliation><affiliation>E-mail: 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Reconstruction of the soft palate is complex because the dynamic fibromuscular structure cannot be duplicated. The efficacy of soft palate reconstruction has therefore been called into question. The purpose of this article is: (1) to describe our comprehensive surgical paradigm for soft palate reconstruction, (2) to provide details of the surgical techniques used, and (3) to report on patient functional outcomes.</abstract><abstract>Fifty‐two patients spanning 3 different size‐based categories of soft palate reconstruction were included in the final analysis. Using videofluoroscopic studies of swallowing, the presence of nasopharyngeal reflux and any instance of aspiration of a bolus into the airway was noted. In addition, a simple diet survey was completed, and the use of a g‐tube was noted.</abstract><abstract>The results revealed that our protocol for soft palate reconstruction provided the majority of our patients with separation of the oropharynx and nasopharynx, while maintaining nasal patency. Restoration of swallowing function was timely, with 91% of the patients returning to an oral diet at the early postoperative visit and only 14% of patients demonstrating mild nasopharyngeal reflux.</abstract><abstract>We have developed a comprehensive reconstructive protocol that provides patients with separation of the oropharynx and nasopharynx, while maintaining nasal patency. Restoration of function is timely, with reestablishment of normal intelligibility and resonance of speech as well as safe and efficient swallowing function. © 2008 Wiley Periodicals, Inc. Head Neck, 2008</abstract><note type="funding">Alberta Heritage Foundation for Medical Research</note><subject lang="en"><genre>keywords</genre><topic>microvascular reconstruction</topic><topic>soft palate</topic><topic>radial forearm free flap</topic><topic>speech</topic><topic>swallowing</topic></subject><relatedItem type="host"><titleInfo><title>Head & Neck</title><subTitle>Journal for the Sciences and Specialties of the Head and Neck</subTitle></titleInfo><titleInfo type="abbreviated"><title>Head Neck</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">1043-3074</identifier><identifier type="eISSN">1097-0347</identifier><identifier type="DOI">10.1002/(ISSN)1097-0347</identifier><identifier type="PublisherID">HED</identifier><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>30</number></detail><detail type="issue"><caption>no.</caption><number>12</number></detail><extent unit="pages"><start>1615</start><end>1623</end><total>9</total></extent></part></relatedItem><identifier type="istex">55CB4FA42F683FA5F0EBFCB7F7D7B2FB912C9CC3</identifier><identifier type="ark">ark:/67375/WNG-7XN5MZG6-8</identifier><identifier type="DOI">10.1002/hed.20919</identifier><identifier type="ArticleID">HED20919</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2008 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/55CB4FA42F683FA5F0EBFCB7F7D7B2FB912C9CC3/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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