The aim of the study is to show that the innovative, dynamic palatal reconstruction technique (free radial flap plasty in combination with displacement of the digastric muscle) leads to a good functional outcome in terms of speech and swallowing in the context of the current literature.
Tumors in the throat and pharynx are common and often lead to impaired swallowing and phonation after surgical tumor resection. The posterior part of the digastric muscle is responsible for sealing during the pharyngeal swallowing phase, among other things. By relocating the digastric muscle, a defect in the area of the soft palate can now be reconstructed with a muscle whose physiological function is already integrated into the complex process of the swallowing act and thus leads to a better seal. This new, previously undescribed reconstruction option has been used on various patients at the University Hospital with good functional results. This study is to describe the new dynamic technique for soft palate reconstruction and to analyze the associated functional and surgical outcomes including postoperative complications, speech and swallowing function. The resulting values will be compared with the existing literature. The aim is to investigate whether the functional outcome in terms of phonation and swallowing can be improved by this technique.
Study Type
OBSERVATIONAL
Enrollment
10
Data collection using entries in the medical records of the respective patients (surgery reports, progress notes, consultation reports, imaging and pathology reports) who underwent surgery with the new dynamic technique for soft palate reconstruction.
Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel
Basel, Switzerland
RECRUITINGNumber of complications
Number of complications after reconstruction of the soft palate with free radial flap plasty in combination with displacement of the digastric muscle
Time frame: one time assessment at baseline
Number of risk factors
Number of risk factors in patients with reconstruction of the soft palate
Time frame: one time assessment at baseline
Number of perioperative therapies (chemotherapy and radiotherapy)
Perioperative therapies (chemotherapy and radiotherapy) in patients with reconstruction of the soft palate (descriptive)
Time frame: one time assessment at baseline
Rate of different surgical indications
Surgical indication in patients with reconstruction of the soft palate (descriptive)
Time frame: one time assessment at baseline
Oncological status according to tumor, node, metastasis (TNM) classification
Oncological status in patients with reconstruction of the soft palate (descriptive); TNM classification system for carcinoma is to establish the anatomic extent of the disease (Stage 0 - Indicates carcinoma in situ. Tis, N0, M0. Stage I - Localized cancer. T1-T2, N0, M0. Stage II - Locally advanced cancer, early stages. T2-T4, N0, M0. Stage III - Locally advanced cancer, late stages. T1-T4, N1-N3, M0.; Stage IV - Metastatic cancer. T1-T4, N1-N3, M1.)
Time frame: one time assessment at baseline
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