Mouth Floor Reconstruction Using Tongue Flap

With this method reconstruction of the tongue was made the creation a large mound neotongue lateral to the mandibular arch which can easily reach the palatal arch and also was made suspension of the larynx is essential given the ablative loss of supra hyoid attachments.

Mouth floor reconstruction using tongue flap.

To improve tongue reconstruction for enhanced swallowing several techiniques have used a variety of flaps. A 62 year old woman with advanced cancer of the oral cavity was submitted to total glossectomy and then reconstruction with a chimeric ld sa flap. The flap provided the correct anatomical oral reconstruction for the anterior mouth floor and ventral tongue. The vram flap based on the left deep inferior epigastric pedicle was designed with a skin island of 11x10 cm and a muscular component of 16x9 cm figure 7.

Anteriorly each side of the flap then met in the midline. Among the many free flaps the free rf flap has been widely accepted as a favourable and reliable choice for tongue reconstruction due to its stable vascular anatomy pliability and thickness. A series of six patients underw. The current study was undertaken to evaluate a novel approach to tongue and mouth floor reconstruction using the myofascial vastus lateralis free flap mvlf.

Immediate reconstruction of the tongue using a free flap was tempted in order to restore speech and swallowing as quickly as quickly as possible. 1 division of head and neck surgical oncology department of otolaryngology washington university school of medicine campus box 8115 660 s euclid st louis mo 63110 usa. We sutured the flap across the anterior edge of the tongue base remnant with its long axis in a transverse ori entation. 14 more recently the alt flap has become the popular flap for tongue reconstruction 11 15 16 the alt flap is a fasciocutaneous flap from the thigh based on the.

They found that all patients were able to feed orally. 16 18 using a pectoralis myocutaneous flap 8 62 of 13 patients with near total glossectomy were able to swallow. 19 salibian et al 16 described 7 patients who had ulnar forearm flaps for reconstruction of subtotal defects. Base of flap should measure 2 5 to 3 0 cm wide length of flap should be sufficient to avoid tension on the pedicle from the motion of the tongue length may be extended 5 to 6 cm preserve as much of the tongue tip as possible generally flaps are 5 to 7 mm thick and include mucosa and subadjacent muscle avoid principal gustatory papillae in flap design.

The purpose of this study was to assess the postoperative functioning of oral cancer patients with resections of the anterior tongue and floor of mouth reconstructed with distal flap closure. The function of the tongue oral intake and mastication were not impaired. Speech and swallowing performance was assessed for 11 men and 5 women preoperatively and at 1 and 3 months postoperatively following a standardized protocol. The surgical techniques benefits complication rate and the aesthetic and functional results are described.

Haughey bh 1 taylor sm fuller d. At the lateral floor of mouth border the flap was sutured by means of an advancement procedure to the alveo lar ridges from posterior to anterior figure 4a.