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Transoral reconstruction of the mobile tongue, using radial forearm free flap

✍ Scribed by Thomas Shpitzer; Dan Guttman; Eyal Gur; Raphael Feinmesser; Dean Ad-El

Publisher: John Wiley and Sons
Year: 2003
Tongue: English
Weight: 92 KB
Volume: 23
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.10078

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✦ Synopsis

Abstract

Tongue resection has significant influence on the patient's quality of life, because it interferes with masticatory and speech functions and affects facial aesthetics. To avoid the disadvantages of the traditional lip‐splitting used to approach partial tongue reconstruction for resection (40% of the tongue or more), we recommend a completely transoral approach, with the radial forearm free flap as a donor flap. Between 1999–2001, the suggested technique was applied in 11 patients with squamous‐cell carcinoma of the mobile tongue. A follow‐up of 6–30 months showed good to excellent oral function, with preservation of tongue volume, motion, and facial aesthetics. This approach seems to be preferable over the lip‐split aproach for the reconstruction of mobile tongue defects. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:18–20 2003

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