Rapair of a palatal defect using a dorsal pedicle tongue flap

Smith, Trenton G.; Schaberg, Siegfried J.; Collins, John T.

doi:10.1016/0278-2391(82)90120-3

Cited by 27 publications

(16 citation statements)

References 19 publications

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“…While using a pedicled tongue flap the reconstruction is done in two stages. 16 In the first stage the flap is harvested and sutured to the defect and in the second stage, division of the pedicle is done after 14 to 21 days of primary surgery to allow adequate neovascularisation of the flap and returned to the donor site to close the wedge defect in the tongue and increase the muscle bulk of the residual tongue to reduce post-operative deformity and dysfunction. 17 In our centre, all the reconstructions were done in a single stage.…”

Section: Discussionmentioning

confidence: 99%

Tongue flap- a good choice for intraoral reconstruction after marginal mandibulectomy: a single institution retrospective study of 27 cases

Govindhasamy

Shanmugam

Michael

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Marginal mandibulectomy with wide excision of the primary tumour in the treatment of the oral cavity squamous cell cancers preserves the form and function of the mandible, without compromise in obtaining oncologically safe margins. Of the various methods of reconstruction of the composite intraoral tissue defect, tongue flaps offer an easy and effective method of reconstruction.Methods: We have collected the records of 27 patients who underwent marginal mandibulectomy and tongue flap reconstruction in the last 6 years from the cancer department master case sheets, operative records and follow up records. The information on the immediate and long term complications were obtained from the records and functional outcomes of patients were recorded at the time of last follow up and analysed. All the 27 patients had horizontal marginal mandibulectomy with an anteriorly or posteriorly based tongue flap reconstruction. Results: The most common early postoperative complication was infection around the flap site that occurred in 18.5% of patients. The other complications including haemorrhage, flap dehiscence occurred in few patients which were managed effectively. There was no incidence of major flap necrosis. Speech and swallowing difficulty was encountered in 18.5% and 14.8% of patients respectively. The long term complications were managed conservatively with speech and swallowing therapy.Conclusions:In our experience, tongue is an excellent donor site for intraoral soft tissue reconstruction, providing an analogous tissue for reconstruction. The technique is simple with acceptable rates of immediate and long term complications and with good functional outcomes.

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Section: Discussionmentioning

confidence: 99%

Tongue flap- a good choice for intraoral reconstruction after marginal mandibulectomy: a single institution retrospective study of 27 cases

Govindhasamy

Shanmugam

Michael

2019

Int J Otorhinolaryngol Head Neck Surg

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“…Various authors have described the advantages and disadvantages of dorsal tongue flap for the repair of palatal fistula [4][5][6][7]. Tongue flap closure for end-stage palatal defects is associated with a relative lack of complications and a high success rate in children and adults [4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…The width of the flap should be equal to the width of the defect plus about 20%. The flap should be thick enough to include several millimeters of muscle to protect the submucosal vascular plexus [2,3,[5][6][7]10,11]. The surgeon must not hesitate to raise a large flap (5-6 cm long, 1 cm thick) to ensure its vascular viability and allow considerable tongue movement without undue tension on the pedicle [4,7].…”

Section: Discussionmentioning

confidence: 99%

Single layer closure of palatal fistula using anteriorly based dorsal tongue flap

Babu

Bhagvandas

Nair

et al. 2009

J. Maxillofac. Oral Surg.

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Palatal fistulas are the common complications seen after cleft palate repair. Small fistula may be asymptomatic, the large ones produce various symptoms including regurgitation of fluids into nasal cavity and interference with normal speech. Although small fistulas can be successfully treated with local flaps such as palatal or buccal mucosal flaps, large fistulas pose difficulty. Because of rich blood supply, tongue is a suitable and convenient source of large flap. The anterior based dorsal tongue flap is a safe and effective method for closure of relatively large recurrent palatal fistula with out any functional impairment of donor site. This article describes one such case treated by single layer closure using anteriorly based tongue flap with excellent outcome.Keywords Palatal fistula · Cleft palate · Local flaps · Rich blood supply of tongue · Anterioly based dorsal tongue flap

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“…Technically, it is accepted that the tongue-flap thickness must be 20% wider than the fistula because of a certain degree of flap retraction [8] and its design may be adapted specifically to the fistula shape [9]. Most surgical teams prefer a two-plane closure.…”

Section: Commentmentioning

confidence: 99%

Oronasal fistula as a cleft palate sequela : closure with tongue flap. Case report with review of the literature

Leturc

Chaux-Bodard

Paulus

2017

Med Buccale Chir Buccale

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Rapair of a palatal defect using a dorsal pedicle tongue flap

Cited by 27 publications

References 19 publications

Tongue flap- a good choice for intraoral reconstruction after marginal mandibulectomy: a single institution retrospective study of 27 cases

Tongue flap- a good choice for intraoral reconstruction after marginal mandibulectomy: a single institution retrospective study of 27 cases

Single layer closure of palatal fistula using anteriorly based dorsal tongue flap

Oronasal fistula as a cleft palate sequela : closure with tongue flap. Case report with review of the literature

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