Abstract | BACKGROUND: Successful tongue reconstruction after total glossectomy for advanced tongue or base of tongue cancer should restore swallowing, speech function, and cosmesis. METHODS: The anterior lateral thigh flap sensitive myocutaneous (ALTF) with vastus lateralis muscle was used to reconstruct the oral defect in a patient undergoing total glossectomy with laryngeal preservation for T4 tongue cancer. RESULTS: Good functional outcomes, measured by independent feeding, speech and swallowing, were achieved. CONCLUSIONS: The anterolateral thigh myocutaneous flap for total tongue reconstruction creates a free neotongue tip with an adequate volume, producing acceptable swallowing function and cosmesis. The reconstruction with free flaps is a feasible method of restoring the functional outcomes in speech and deglutition among patients who undergo total glossectomy with laryngeal preservation.
|
Authors | Tuhar, D Zamfirescu, C Gheorghiță, D Slăvescu, A Frunză, I Lascăr |
Journal | Journal of medicine and life
(J Med Life)
2015 Jan-Mar
Vol. 8
Issue 1
Pg. 64-7
ISSN: 1844-3117 [Electronic] Romania |
PMID | 25914742
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Aged
- Free Tissue Flaps
- Humans
- Intraoperative Care
- Male
- Middle Aged
- Postoperative Care
- Quadriceps Muscle
(surgery)
- Plastic Surgery Procedures
- Thigh
(surgery)
- Tongue Neoplasms
(surgery)
|