Abstract
Soft tissue necrosis (STN) is a late toxicity after radiotherapy. Extensive tissue
defects due to STN near the carotid artery, such as in the lateral oropharyngeal wall,
may lead to infectious pseudoaneurysms associated with fatal bleeding. Such defects
are usually treated with transcervical reconstructive surgeries, which are highly
invasive and technically difficult.
We report a case in which a buccal fat pad (BFP) flap was used for minimally invasive
transoral repair of tissue defects due to radiation-induced STN in the lateral oropharyngeal
wall. The BFP flap covered the tissue defect, and the wound epithelialized completely.
The patient had no dysfunctional mouth opening, speech, or swallowing.
The BFP flap can be easily harvested via a minimally invasive transoral approach and
is expected to be further utilized for radiation-induced STN in the lateral oropharyngeal
wall.
Keywords
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Article info
Publication history
Published online: January 06, 2023
Accepted:
December 28,
2022
Received:
September 21,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.
