Repair of Oropharyngeal Stenosis With Bilateral Buccal Myomucosal Flaps
| Autor: | Andrew O'Brien, John A. Girotto, Robert J. Mann, Nicholas S Adams, John W. Polley |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Oropharynx Constriction Pathologic Surgical Flaps Adenoidectomy Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine stomatognathic system otorhinolaryngologic diseases Humans Medicine 030223 otorhinolaryngology Tonsillectomy Soft palate business.industry Mouth Mucosa Postoperative complication Pharyngeal Diseases Plastic Surgery Procedures medicine.disease Hypernasal speech Dysphagia Surgery Stenosis Cheek medicine.anatomical_structure 030220 oncology & carcinogenesis Female medicine.symptom business Odynophagia |
| Zdroj: | Annals of Plastic Surgery. 79:162-165 |
| ISSN: | 0148-7043 |
| Popis: | Oropharyngeal stenosis (OPS) is a rare postoperative complication of adenotonsillectomy that can be a source of considerable patient distress and morbidity. Circumferential scarring of the soft palate and tonsillar pillars leads to narrowing of the oropharyngeal aperture. This case report describes the novel use of bilateral buccal myomucosal flaps for the repair of postoperative OPS in a 20-year-old woman presenting with dysphagia, odynophagia, dyspnea, and intermittent hypernasal speech. Postoperatively, the patient noted immediate improvement of her symptoms. At 1-month follow-up, she noted complete resolution of her symptoms with no dysphagia, nasal regurgitation, speaking difficulty, dyspnea, or gagging. The buccal flaps were well healed and completely intact, maintaining appropriate height of the tonsillar pillars. The buccal myomucosal flap is an effective tool for numerous palatal and oropharyngeal abnormalities and, as described in this case study, is a reliable, safe, and effective technique that can be considered for the reconstruction of postsurgical OPS. |
| Databáze: | OpenAIRE |
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