{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T14:46:06Z","timestamp":1774363566768,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,9,30]],"date-time":"2015-09-30T00:00:00Z","timestamp":1443571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Functional reconstruction of extensive soft\u2010palate defects is challenging for microsurgeons. The versatility of the combination of a free anterolateral thigh flap and a superiorly based pharyngeal flap for oncologic soft\u2010palate reconstruction was investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The combination of flaps was used for immediate reconstruction after total or subtotal resection of the soft palate in five consecutive patients from 2006 to 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All flaps survived completely. Palatal fistula and miniplate infection each developed in one patient but healed conservatively. Follow\u2010up period ranged from 21 to 66 months. All patients tolerated a regular diet without significant aspiration or nasal regurgitation. Speech intelligibility was excellent in all patients, and none required a palatal prosthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The combination of an anterolateral thigh flap and a superiorly based pharyngeal flap is a versatile option for reconstructing extensive soft\u2010plate defects. This method is simple and achieves reproducible results with limited donor\u2010site morbidity. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 36:291\u2013296, 2016.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.22507","type":"journal-article","created":{"date-parts":[[2015,9,30]],"date-time":"2015-09-30T08:31:46Z","timestamp":1443601906000},"page":"291-296","source":"Crossref","is-referenced-by-count":12,"title":["Combined use of anterolateral thigh flap and pharyngeal flap for reconstruction of extensive soft\u2010palate defects"],"prefix":"10.1002","volume":"36","author":[{"given":"Shimpei","family":"Miyamoto","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery National Cancer Center Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minoru","family":"Sakuraba","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery National Cancer Center Hospital East Kashiwa 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