Elimination of palatal fistula after the maxillary swing procedure

• DOI: 10.1002/hed.20220
• Publication Date: 2005-05-26T21:47:38Z
• Authors: Raymond W. M. Ng; William I. Wei
• Keywords: Male; Palate, Hard; Soft - Surgery; Oral Surgical Procedures; Palate, Soft - Surgery; Oral Surgical Procedures - Adverse Effects - Methods; Nasopharyngeal Neoplasms - Radiotherapy - Surgery; Surgical Flaps; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Local - Radiotherapy - Surgery; 616; Maxilla; Humans; Palate, Hard - Surgery; Postoperative Complications - Etiology - Prevention & Control - Surgery; Palate; Mouth Mucosa; Maxilla - Surgery; Neoplasm Recurrence, Local - Radiotherapy - Surgery; Nasopharyngeal Neoplasms; Neoplasm Recurrence; Treatment Outcome; Oral Fistula - Etiology - Prevention & Control - Surgery; Female; Neoplasm Recurrence, Local; Palate, Soft; Mouth Mucosa - Surgery; Oral Fistula; Hard - Surgery

The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, central skull base, and its vicinity. reported incidence of postoperative palatal fistula ranged from 20% 25%. oronasal incompetence especially associated with a large adversely affected normal speech, eating, swallowing functions. We describe modified incision reduce procedure.Fifteen consecutive patients who underwent procedures for salvage resection recurrent nasopharyngeal carcinoma after radiotherapy had incision. flap was raised described, outcome analyzed.Fourteen patients' wound healed uneventfully. One patient experienced partial necrosis, which conservative treatment. All 15 tolerated oral feeding 1 week surgery. No fistulas occurred.The described effectively prevented formation procedure.