Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (4): 92-95.doi: 10.6040/j.issn.1673-3770.0.2018.400

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Clinical efficacy of the pharyngopalatine arch muscle mucosal flap for tonsillectomy wound closure after plasma surgery

HUANG Jiyi1, LI Baizi1, WU Shunong1, LÜ Zhenghua2   

  1. Department of Head and Neck Surgery, Shandong Provincial Hospital of Otolaryngology, Jinan 250022, Shandong, China
  • Online:2019-07-20 Published:2019-07-22

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Abstract: Objective We aimed to improve the procedure of tonsillectomy by plasma resection and analyze the improvement of the curative effect after tonsil plasma surgery with wound closure using the pharyngopalatine arch muscle mucosal flap. Methods Patients who underwent tonsillectomy were randomly divided into two groups. Conventional tonsillectomy was performed in 105 cases, whereas partially separated pharyngopalatine arch muscle mucosal flap placement was performed after tonsillectomy in 94 cases to close the tonsillar fossa. Data on postoperative pain, wound healing, and bleeding were analyzed and compared between the two groups. Results During the first 7 days after operation, pain severity was significantly less in the experiment group than in the control group. The differences in wound healing and postoperative bleeding rates between the experiment and control groups were also statistically significant. Conclusion Operation using a pharyngeal muscle mucosal flap to close the tonsil plasma is easy and can reduce postoperative pain, promote wound healing, and reduce the risk of surgical wound bleeding.

Key words: Plasma, Tonsillectomy, Palatopharyngeal arch, Musculomucosal flap, Complication

CLC Number: 

  • R766.9
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