Anterior glossectomy: Reconstruction with a posterior tongue rotation flap

✍ Scribed by Friedman, Michael ;Rosenberg, Matthew

• Publisher: Wiley (John Wiley & Sons)
• Year: 1987
• Weight: 212 KB
• Volume: 9
• Category: Article
• ISSN: 0148-6403
• DOI: 10.1002/hed.2890090609

✦ Synopsis

With traditional techniques, reconstruction of the anterior tongue is often less than satisfactory. The difficulty lies mainly in providing the tongue with the appropriate amount of bulk essential for normal movement and function. We present an alternative method that involves raising a flap from the ipsilateral middle third of the tongue and rotating it into position for suturing to the anterior defect border. We have found this simple procedure to yield adequate tongue bulk for normal speech and deglutition. HEAD & NECK SURGERY 9553-355, 1987

T h e goals of tongue reconstruction after resection of carcinoma are to restore normal tongue function and minimize cosmetic deformity, resulting in normal speech and deglutition. The techniques for anterior reconstruction described in the literature comprise two basic categories. Primary closure, skin grafting, or ipsilateral hemitongue advancement are most useful for reconstructing defects involving 50% or less of the anterior tongue.',' Total anterior tongue resection requires either a pectoralis major or sternocleidomastoid