Fasciocutaneous Flap Reconstruction of the Tongue and Floor of Mouth

Abstract

The folding techniques used in this study for reconstruction of the tongue with fasciocutaneous free flaps were associated with recovery of adequate speech and swallowing in most patients.

Speech outcome after surgical treatment for oral and oropharyngeal cancer: A longitudinal assessment of patients reconstructed by a microvascular flap

“…Similar findings were reported by Haughey et al 29 When articulation scores after treatment were compared with consonant errors, no clear pattern could be found. The reason for this was unclear, but personal articulation strategies and tumor classification might influence both articulation and consonant errors.…”

“…Communicative suitability and intelligibility were most markedly preserved in patients who were treated for mobile tongue lesions, whereas articulation problems and nasality (significantly) were especially present in patients with tonsil and soft palate cancers. In contrast, Haughey et al, 29 who investigated speech for 43 patients with tongue or floorof-mouth carcinomas who also underwent fasciocutaneous flap reconstruction, found improved intelligibility for patients with base-of-tongue defects compared with those with tumors of the mobile tongue. This study, however, included 51% of patients who had undergone prior treatment (partial glossectomy, radiation therapy, or chemotherapy), which may have influenced their results.…”

Speech outcome after surgical treatment for oral and oropharyngeal cancer: A longitudinal assessment of patients reconstructed by a microvascular flap

“…Similar findings were reported by Haughey et al 29 When articulation scores after treatment were compared with consonant errors, no clear pattern could be found. The reason for this was unclear, but personal articulation strategies and tumor classification might influence both articulation and consonant errors.…”

“…Communicative suitability and intelligibility were most markedly preserved in patients who were treated for mobile tongue lesions, whereas articulation problems and nasality (significantly) were especially present in patients with tonsil and soft palate cancers. In contrast, Haughey et al, 29 who investigated speech for 43 patients with tongue or floorof-mouth carcinomas who also underwent fasciocutaneous flap reconstruction, found improved intelligibility for patients with base-of-tongue defects compared with those with tumors of the mobile tongue. This study, however, included 51% of patients who had undergone prior treatment (partial glossectomy, radiation therapy, or chemotherapy), which may have influenced their results.…”

Evaluation of Swallow Function After Tongue Cancer Treatment Using Real-Time Magnetic Resonance Imaging

“…Such flaps have been reported to be associated with recovery of adequate speech and swallowing function. 28 Our results suggest that with the flap filling the space of excised floor of mouth and tongue tissue, the remaining intrinsic tongue muscle may be able to compensate to achieve a safe oral stage of swallowing.…”

Unilateral Anomalous Origin of Dorsalis Pedis Artery From Peroneal Artery in a Cadaver

“…It is also important to keep this anomaly in mind in the interpretation of leg arteriograms, as it may falsely lead to the impression that the distal anterior tibial artery is occluded and DPA is reconstituting from collaterals. Lastly, the DPA and its branches contribute to the dorsalis pedis fasciocutaneous flap, which is used for soft tissue reconstruction in the lower leg, dorsum of the hand, oral, and nasal cavities [11][12][13]. Imaging modalities such as angiograms may be utilized to obtain a more complete picture of anatomical variation in patients with peripheral arterial disease and will supplement the checking of pedal pulses, avoiding overestimation of disease while providing a schematic for revascularization planning when deemed necessary.…”

Speech outcome after surgical treatment for oral and oropharyngeal cancer: A longitudinal assessment of patients reconstructed by a microvascular flap

“…Similar findings were reported by Haughey et al 29 When articulation scores after treatment were compared with consonant errors, no clear pattern could be found. The reason for this was unclear, but personal articulation strategies and tumor classification might influence both articulation and consonant errors.…”

“…Communicative suitability and intelligibility were most markedly preserved in patients who were treated for mobile tongue lesions, whereas articulation problems and nasality (significantly) were especially present in patients with tonsil and soft palate cancers. In contrast, Haughey et al, 29 who investigated speech for 43 patients with tongue or floorof-mouth carcinomas who also underwent fasciocutaneous flap reconstruction, found improved intelligibility for patients with base-of-tongue defects compared with those with tumors of the mobile tongue. This study, however, included 51% of patients who had undergone prior treatment (partial glossectomy, radiation therapy, or chemotherapy), which may have influenced their results.…”

Evaluation of Swallow Function After Tongue Cancer Treatment Using Real-Time Magnetic Resonance Imaging

“…Such flaps have been reported to be associated with recovery of adequate speech and swallowing function. 28 Our results suggest that with the flap filling the space of excised floor of mouth and tongue tissue, the remaining intrinsic tongue muscle may be able to compensate to achieve a safe oral stage of swallowing.…”

Unilateral Anomalous Origin of Dorsalis Pedis Artery From Peroneal Artery in a Cadaver

“…It is also important to keep this anomaly in mind in the interpretation of leg arteriograms, as it may falsely lead to the impression that the distal anterior tibial artery is occluded and DPA is reconstituting from collaterals. Lastly, the DPA and its branches contribute to the dorsalis pedis fasciocutaneous flap, which is used for soft tissue reconstruction in the lower leg, dorsum of the hand, oral, and nasal cavities [11][12][13]. Imaging modalities such as angiograms may be utilized to obtain a more complete picture of anatomical variation in patients with peripheral arterial disease and will supplement the checking of pedal pulses, avoiding overestimation of disease while providing a schematic for revascularization planning when deemed necessary.…”

Speech outcome after surgical treatment for oral and oropharyngeal cancer: A longitudinal assessment of patients reconstructed by a microvascular flap

“…Similar findings were reported by Haughey et al 29 When articulation scores after treatment were compared with consonant errors, no clear pattern could be found. The reason for this was unclear, but personal articulation strategies and tumor classification might influence both articulation and consonant errors.…”

“…Communicative suitability and intelligibility were most markedly preserved in patients who were treated for mobile tongue lesions, whereas articulation problems and nasality (significantly) were especially present in patients with tonsil and soft palate cancers. In contrast, Haughey et al, 29 who investigated speech for 43 patients with tongue or floorof-mouth carcinomas who also underwent fasciocutaneous flap reconstruction, found improved intelligibility for patients with base-of-tongue defects compared with those with tumors of the mobile tongue. This study, however, included 51% of patients who had undergone prior treatment (partial glossectomy, radiation therapy, or chemotherapy), which may have influenced their results.…”

Evaluation of Swallow Function After Tongue Cancer Treatment Using Real-Time Magnetic Resonance Imaging

“…Such flaps have been reported to be associated with recovery of adequate speech and swallowing function. 28 Our results suggest that with the flap filling the space of excised floor of mouth and tongue tissue, the remaining intrinsic tongue muscle may be able to compensate to achieve a safe oral stage of swallowing.…”

Unilateral Anomalous Origin of Dorsalis Pedis Artery From Peroneal Artery in a Cadaver

“…It is also important to keep this anomaly in mind in the interpretation of leg arteriograms, as it may falsely lead to the impression that the distal anterior tibial artery is occluded and DPA is reconstituting from collaterals. Lastly, the DPA and its branches contribute to the dorsalis pedis fasciocutaneous flap, which is used for soft tissue reconstruction in the lower leg, dorsum of the hand, oral, and nasal cavities [11][12][13]. Imaging modalities such as angiograms may be utilized to obtain a more complete picture of anatomical variation in patients with peripheral arterial disease and will supplement the checking of pedal pulses, avoiding overestimation of disease while providing a schematic for revascularization planning when deemed necessary.…”