Functional Results of Primary Closure vs Flaps in Oropharyngeal Reconstruction

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Abstract
WHEN A surgeon is faced with the decision of how to reconstruct a soft tissue defect of the oral cavity or oropharynx (or both), the preservation of the speech and swallowing function is a primary consideration. Outcome data on which to base this decision are absent, however. We present the results of a multi-institutional prospective study that evaluated the speech and swallowing outcomes of patients having soft tissue reconstruction of the oral cavity, oropharynx, or both. The major factors that affect functional outcomes are the site and extent of resection and the type of reconstruction. To assess only the effects of reconstruction on function, the site and extent of resection must be controlled as carefully as possible.

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