PMC8763795_01
Hard palate midline submucous bulging lesion (A) and palate reconstruction with radial forearm free flap (3 weeks after surgery) (B). Resected specimen from (C) palate and (D) nasal view. (E) Coronal and (F) axial views of the CT image.
fonc-11-741191-g001.jpg
PMC8763795_01_fonc-11-741191-g001.jpg
f1
The patient presented an exophytic tumor of approximately 3x2 centimeters in the middle of the hard palate with normal oral mucosa ( Figure 1A ). A CT scan showed hard palate bony erosion, invasion for the nasal septum and floor of the right fossa, and an intact ipsilateral inferior turbinate ( Figures 1E, F ). The chosen procedure consisted of an endoscopic nasal approach, a navigated transoral resection of the central palate with at least 2 cm margin ( Figures 1C, D ), and immediate reconstruction of the central hard and soft palate with a radial forearm free flap ( Figure 1B ).