Korean J Otorhinolaryngol-Head Neck Surg.
2010 Apr;53(4):248-251. 10.3342/kjorl-hns.2010.53.4.248.
A Case of Velopharyngeal Incompetence due to Unexplained Myopathy in a Patient with Terminal-Staged Breast Cancer
- Affiliations
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- 1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. pcs0112@catholic.ac.kr
- KMID: 1455694
- DOI: http://doi.org/10.3342/kjorl-hns.2010.53.4.248
Abstract
- Velopharyngeal incompetence is rare and difficult to diagnose, especially if there is no structural or neurologic cause for it. The authors have recently experienced a case of unexplained velopharyngeal incompetence in a 67-year old female patient with terminal-staged breast cancer (T4N2M1), who had received surgery before but failed. During her hospitalization for palliative treatment, the patient was referred to our department for hypernasality, nasal regurgitation and poor oral intake. Although clinical evaluations were completed to find the causes of velopharyngeal incompetence, no definite causes were found. Authors performed a palatopharyngoplasty with the superiorly based pharyngeal flap and her symptoms were cured. We report our case with a brief review of the literatures.
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