Tongue Flap Reconstruction in Cancer of the Oral Cavity

Sessions, Donald G.; Dedo, Douglas D.; Ogura, Joseph H.

doi:10.1001/archotol.1975.00780320024005

Cited by 25 publications

(6 citation statements)

References 11 publications

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“…The statistical heterogeneity was high at I 2 = 70%. Meta-analysis of 1331 patients from 28 evaluable studies 8,9,20,23,28,30,33-36,38-40,42,47,48,50,53-55,57,58,61,64,74,85 showed a pooled risk of OCF of 8.55% (95% CI, 5.71%-11.4%, I 2 = 71.8%) among patients undergoing free flap reconstruction (Figure 3A), compared to 8.02% (95% CI, 5.27%-10.8%, I 2 = 72.7%) among 1449 patients undergoing regional flap reconstruction from 34 evaluable studies 10,13,14,16,19,21,24-26,32,41,44,45,51,56,59,60,62,63,65-67,69,71,73,75,76,78,80,82-84 (Figure 3B). Pooled risk of fistula was 6.74% (95% CI, 4.50%-8.97%, I 2 = 38.6) among 1133 patients undergoing segm...…”

Section: Resultsmentioning

confidence: 99%

Orocutaneous Fistula After Oral Cavity Resection and Reconstruction: Systematic Review and Meta-Analysis

Tassone

Galloway

Dooley

et al. 2021

Ann Otol Rhinol Laryngol

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Objective: Orocutaneous fistula (OCF) after reconstruction for oral cavity resection can lead to prolonged hospitalization and adjuvant treatment delay. Few studies have examined factors leading to OCF after oral cavity resection. Primary objective: evaluate overall incidence and factors associated with OCF after oral cavity reconstruction. Data Sources: Scopus 1960—database was searched for terms: “orocutaneous fistula,” “oro cutaneous fistula,” “oral cutaneous fistula,” “orocervical fistula,” “oral cavity salivary fistula.” Review Methods: English language studies with >5 patients undergoing reconstruction after oral cavity cancer resection were included. About 1057 records initially screened; 214 full texts assessed; 78 full-texts included. PRISMA guidelines were followed, and MINORS criteria used to assess risk of bias. Data were pooled using random-effects model. Primary outcome was OCF incidence. Meta-analysis to determine the effect of preoperative radiation on OCF conducted on 12 eligible studies. Pre-collection hypothesis was that prior radiation therapy is associated with increased OCF incidence. Post-collection analyses: free versus pedicled flaps; mandible-sparing versus segmental mandibulectomy. Results: Seventy-eight studies were included in meta-analysis of overall OCF incidence. Pooled effect size showed overall incidence of OCF to be 7.71% (95% CI, 6.28%-9.13%) among 5400 patients. Meta-analysis of preoperative radiation therapy on OCF showed a pooled odds ratio of 1.68 (95% CI, 0.93-3.06). OCF incidence was similar between patients undergoing free versus pedicled reconstruction, or segmental mandibulectomy versus mandible-sparing resection. Conclusion: Orocutaneous fistula after oral cavity resection has significant incidence and clinical impact. Risk of OCF persists despite advances in reconstructive options; there is a trend toward higher risk after prior radiation.

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Section: Resultsmentioning

confidence: 99%

Orocutaneous Fistula After Oral Cavity Resection and Reconstruction: Systematic Review and Meta-Analysis

Tassone

Galloway

Dooley

et al. 2021

Ann Otol Rhinol Laryngol

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Section: Discussionmentioning

confidence: 99%

“…Although the main concern with tongue flap is alteration of speech and swallowing, and some surgeons fear that removal of the tongue tissue may interfere with articulation, these are not observed in our patient. 3,[10][11][12][13][14] Complications were cited in previous studies. 4,15 Most experienced minor and temporary complications including pain, swelling, bleeding, hematoma, infection, and temporary loss of taste perception.…”

Section: Discussionmentioning

confidence: 99%

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Tongue Flap for Total Full Thickness Upper Lip with Vermillion Reconstruction: Case Report

Mrad

AlMarshad

AlMarghoub

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Lips play an important role in the function of the oral stoma. Lips also have a vital aesthetic role in the face. Lips are typically reconstructed by local, regional, or free flaps. Tongue flaps have been used for reconstruction of oral and palate defects resulting from congenital disorders, trauma, infection, and surgery. Because of its versatility, rich blood supply, and position, the tongue flap is reliable for defect reconstruction. In this study, we report a case of an upper lip full thickness defect managed with a tongue flap. The results were functionally and aesthetically excellent. To the best of our knowledge, this is the first attempt to reconstruct a full upper lip defect using the tongue.

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“…Some surgeons fear that removal of the tongue tissue may interfere with articulation; this fear is unwarranted based on our observation and many other. [5,11,12,[15][16][17][18] Speech depends on the mobility of the tongue. Unlike lateral tongue flap, floor of the mouth is not included in dorsal tongue flap, hence tethering or fixation of the tongue does not occur, therefore speech is not affected.…”

Section: Discussionmentioning

confidence: 99%