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Article: Elimination of palatal fistula after the maxillary swing procedure

TitleElimination of palatal fistula after the maxillary swing procedure
Authors
Issue Date2005
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/38137
Citation
Head And Neck, 2005, v. 27 n. 7, p. 608-612 How to Cite?
AbstractBackground. The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, the central skull base, and its vicinity. The reported incidence of postoperative palatal fistula has ranged from 20% to 25%. The oronasal incompetence especially associated with a large fistula has adversely affected normal speech, eating, and swallowing functions. We describe a modified palatal incision to reduce the incidence of palatal fistula associated with the maxillary swing procedure. Methods. Fifteen consecutive patients who underwent maxillary swing procedures for salvage resection of recurrent nasopharyngeal carcinoma after radiotherapy had the modified palatal incision. The flap was raised as described, and the outcome was analyzed. Results. Fourteen patients' palatal wound healed uneventfully. One patient experienced partial flap necrosis, which healed with conservative treatment. All 15 patients tolerated oral feeding 1 week after the surgery No palatal fistulas occurred. Conclusion. The modified palatal incision as described has effectively prevented palatal fistula formation after the maxillary swing procedure. © 2005 Wiley Periodicals, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/172878
ISSN
2015 Impact Factor: 2.76
2015 SCImago Journal Rankings: 1.233
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNg, RWMen_US
dc.contributor.authorWei, WIen_US
dc.date.accessioned2012-10-30T06:25:29Z-
dc.date.available2012-10-30T06:25:29Z-
dc.date.issued2005en_US
dc.identifier.citationHead And Neck, 2005, v. 27 n. 7, p. 608-612en_US
dc.identifier.issn1043-3074en_US
dc.identifier.urihttp://hdl.handle.net/10722/172878-
dc.description.abstractBackground. The maxillary swing procedure has been used as an anterolateral approach to expose the nasopharynx, the central skull base, and its vicinity. The reported incidence of postoperative palatal fistula has ranged from 20% to 25%. The oronasal incompetence especially associated with a large fistula has adversely affected normal speech, eating, and swallowing functions. We describe a modified palatal incision to reduce the incidence of palatal fistula associated with the maxillary swing procedure. Methods. Fifteen consecutive patients who underwent maxillary swing procedures for salvage resection of recurrent nasopharyngeal carcinoma after radiotherapy had the modified palatal incision. The flap was raised as described, and the outcome was analyzed. Results. Fourteen patients' palatal wound healed uneventfully. One patient experienced partial flap necrosis, which healed with conservative treatment. All 15 patients tolerated oral feeding 1 week after the surgery No palatal fistulas occurred. Conclusion. The modified palatal incision as described has effectively prevented palatal fistula formation after the maxillary swing procedure. © 2005 Wiley Periodicals, Inc.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/38137en_US
dc.relation.ispartofHead and Necken_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMaxilla - Surgeryen_US
dc.subject.meshMouth Mucosa - Surgeryen_US
dc.subject.meshNasopharyngeal Neoplasms - Radiotherapy - Surgeryen_US
dc.subject.meshNeoplasm Recurrence, Local - Radiotherapy - Surgeryen_US
dc.subject.meshOral Fistula - Etiology - Prevention & Control - Surgeryen_US
dc.subject.meshOral Surgical Procedures - Adverse Effects - Methodsen_US
dc.subject.meshPalate, Hard - Surgeryen_US
dc.subject.meshPalate, Soft - Surgeryen_US
dc.subject.meshPostoperative Complications - Etiology - Prevention & Control - Surgeryen_US
dc.subject.meshSurgical Flapsen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleElimination of palatal fistula after the maxillary swing procedureen_US
dc.typeArticleen_US
dc.identifier.emailWei, WI: hrmswwi@hku.hken_US
dc.identifier.authorityWei, WI=rp00323en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/hed.20220en_US
dc.identifier.pmid15920745-
dc.identifier.scopuseid_2-s2.0-21844456078en_US
dc.identifier.hkuros99134-
dc.identifier.hkuros116855-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-21844456078&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume27en_US
dc.identifier.issue7en_US
dc.identifier.spage608en_US
dc.identifier.epage612en_US
dc.identifier.isiWOS:000230242200008-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridNg, RWM=7102153861en_US
dc.identifier.scopusauthoridWei, WI=7403321552en_US

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