A Strategic Approach for Tongue Reconstruction to Achieve Predictable and Improved Functional and Aesthetic Outcomes

Abstract

A strategic approach of variable flap selections based on different tongue defects may achieve predictably better functional and aesthetic outcomes. The innovative pentagonal anterolateral thigh myocutaneous flap for total tongue reconstruction creates a free neotongue tip with adequate volume, producing acceptable swallowing function and cosmesis.

Functional and Aesthetic Reconstruction of the Defects Following the Hemiglossectomy in Patients with Oropharyngeal Cancer

“…Regarding the volume of the flap for the defects of hemiglossectomy, there was some reports that discuss whether the reconstruction with flap is necessary or not [10,11], but most papers describe that reconstruction with free flap provide good functional results [1][2][3][4][5][6][7][8][9]. The flaps seen in these papers are comparatively large, and the size of reconstructed tongues is as large as that of original tongue.…”

“…Actually, many reports have described that the functional results are generally good after the reconstruction with flaps following hemiglossectomy [1][2][3][4][5][6][7][8][9]. However, it is rather difficult to perform the reconstruction that makes the best of remaining tissue and function.…”

Reconstrucción Microquirúrgica De Lengua

“…Históricamente, los individuos de raza negra tienen una doble incidencia por encima de individuos de raza blanca y en un 75% de los casos son individuos que consumen grandes cantidades de alcohol y tabaco. En Asia la incidencia es significativamente mayor debido al consumo de nuez de betel, cigarrillo y alcohol 2 . En Colombia el cáncer es la tercera causa de muerte y el carcinoma escamocelular de boca ocupa el quinto lugar entre todos los cánceres, con una relación hombre/mujer 2:1.…”

Management of the total glossectomy defect with latissimus dorsi free flap

“…На-ряду с нарушением функции жевания, существенно страдает акт глотания, остаются незащищенными дыхательные пути, возникает риск попадания в них пищи. Таким образом, пациенту после глоссэктомии жизненно необходима реабилитация, а именно раз-личные реконструктивные операции [2][3][4][5][6][7][8] и ортопе-дическое лечение -протезирование языка.…”