Head & neck · 2008
Speech outcomes after soft palate reconstruction with the soft palate insufficiency repair procedure.
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Rieger Jana M, Zalmanowitz Jana G, Li Shirley Y Y, Tang Judith Lam, Williams David, Harris Jeffrey, Seikaly Hadi
Аннотация
BACKGROUND: Measurement of functional outcomes related to different methods of soft palate reconstruction is necessary to determine efficacy of surgical intervention after resection for oropharyngeal cancer.
METHODS: Speech data were collected across 4 evaluation times for 4 groups of patients (2 groups consisted of patients with <or= half the soft palate resected followed by conventional reconstruction; 2 groups consisted of patients with half or more of the soft palate resected followed by reconstruction with an adhesion or the soft palate insufficiency repair (SPIR).
RESULTS: Sixty-two patients were included. Speech was preserved when conventional reconstructive procedures were used to close smaller defects. For larger defects, reconstruction with an adhesion resulted in poorer speech outcomes than the SPIR. The SPIR group achieved normal speech results at all points of evaluation.
CONCLUSIONS: The results demonstrate that the SPIR is emerging as an efficacious surgical technique for reconstruction of larger soft palate defects.
METHODS: Speech data were collected across 4 evaluation times for 4 groups of patients (2 groups consisted of patients with <or= half the soft palate resected followed by conventional reconstruction; 2 groups consisted of patients with half or more of the soft palate resected followed by reconstruction with an adhesion or the soft palate insufficiency repair (SPIR).
RESULTS: Sixty-two patients were included. Speech was preserved when conventional reconstructive procedures were used to close smaller defects. For larger defects, reconstruction with an adhesion resulted in poorer speech outcomes than the SPIR. The SPIR group achieved normal speech results at all points of evaluation.
CONCLUSIONS: The results demonstrate that the SPIR is emerging as an efficacious surgical technique for reconstruction of larger soft palate defects.
Предметные рубрики MeSH
AdultAgedAged, 80 and overAlbertaCarcinomaFemaleForearmHumansMaleMiddle AgedOral Surgical ProceduresOropharyngeal NeoplasmsPalate, SoftPostoperative ComplicationsProspective StudiesRadiusPlastic Surgery ProceduresRecovery of FunctionSpeech AcousticsSpeech DisordersSpeech IntelligibilitySurgical FlapsTreatment Outcome