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Ablation of advanced tongue cancer and mobile tongue reconstruction by using a sensitive anterolateral thigh and vastus lateralis muscle free flap.

AbstractBACKGROUND:
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
JournalJournal of medicine and life (J Med Life) 2015 Jan-Mar Vol. 8 Issue 1 Pg. 64-7 ISSN: 1844-3117 [Electronic] Romania
PMID25914742 (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)

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