Tongue flap revisited

Deshmukh, Anuja; Subbiah, Kannan; Thakkar, Purvi; Chaukar, Devendra A; Yadav, Prabha; D'Cruz, Anil

doi:10.4103/0973-1482.113354

Cited by 23 publications

(4 citation statements)

References 13 publications

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“…Calcaterra 9 reported no flap loss after reconstruction with a tongue flap. There was no flap loss (partial or total) in the series published by Chaukar et al, 6 Overall, in our study, 6 (25%) patients had hematoma formation, while 4 (16.66%) patients had pus discharge. Three patients developed wound dehiscence.…”

Section: Discussionsupporting

confidence: 46%

“…5 Chaukar et al, published their data on tongue flap reconstruction in 22 patients with carcinoma of the buccal mucosa. 6 A tongue flap can be used as a reliable flap without any adverse outcome to cover the exposed bone after mandibulectomy. Som and Nussbaum 7 described the use of a lateral tongue flap for reconstruction of the floor of the mouth after marginal mandibulectomy.…”

Section: Discussionmentioning

confidence: 99%

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To study the usefulness of islanded tongue flap reconstruction for carcinoma buccal mucosa defect

Prem Shanker,

Mohd Athar,

Singh

2023

Asian J Med Sci

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Background: Carcinoma buccal mucosa is very prevalent among the Indian population. The mainstay of treatment is surgical excision, which leaves tissue defects requiring reconstruction. Various techniques and flaps have been used for reconstruction of such defects, and research is still underway for better cosmesis and functional outcomes. Aims and Objectives: The aims of this study were to assess the usefulness of an islanded tongue flap in buccal mucosa cancer defect reconstruction after segmental mandibulectomy. Materials and Methods: The present hospital-based observational study was conducted on patients with carcinoma buccal mucosa, with an age greater than 20 years and both sexes included after obtaining written and informed consent. The patients underwent islanded tongue flap reconstruction after wide local excision of tumor and segmental mandibulectomy. Results: Twenty-four patients underwent the procedure and were included in this study. The outcome of the surgery was compared in terms of deglutition and difficulty in speech on a scale of good, satisfactory, and poor. The cosmetic outcome was also compared in the same way. During the post-operative period, eight (33.33%) patients developed early complications of hematoma and pus discharge. Three (12.5%) developed wound dehiscence. Two (8.33%) of these patients also developed flap necrosis. All these complications were managed conservatively. Overall, the surgery had a good cosmetic outcome with minimal difficulty in deglutition or speech. Conclusion: Based on results, an islanded tongue flap can be regarded as a good alternative for small and medium-sized buccal mucosa cancer defect reconstruction after segmental mandibulectomy.

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

To study the usefulness of islanded tongue flap reconstruction for carcinoma buccal mucosa defect

Prem Shanker,

Mohd Athar,

Singh

2023

Asian J Med Sci

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“…[ 12 ] Flap blood supply, in this variant of tongue flap is an axial pattern, depends on branches of the deep lingual artery. [ 13 ] It provides sufficient mucosa for coverage of the oral-side in such fistulas. Patients with remaining large palatal fistulas have the nasal escape of air and nasal speech.…”

Section: Discussionmentioning

confidence: 99%

Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients

Rahpeyma¹,

Khajehahmadi²

2015

Ann Maxillofac Surg

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Background:Large palatal fistula in cleft patients is a difficult situation, especially with previous multiple surgeries, which have led to severe scars in the palatal mucosa. Tongue flaps are useful aids in such situations.Materials and Methods:Seven cleft patients who were reconstructed by posteriorly based lateral tongue flap between 2005 and 2012 were studied. Variables such as flap-ability to close the fistula, remaining tongue shape at least 1 year after operation, and speech improvement (patients’ self-assessment) were evaluated.Results:Age range of the patients was 14‒45 years. The male-to-female ratio was 2/7. Posteriorly based lateral tongue flap effectively closed the large fistula in 6/7 of patients. The largest dimensions of fistula closed by this flap was 5 cm × 1.5 cm. Follow-up of 2‒7 years showed that the tongue never returned to the original size and remained asymmetrical. In addition, the nasal speech did not improve dramatically after the closure of large palatal/alveolar fistulas in this age group.Conclusion:Posteriorly based lateral tongue flap is an effective method to solve the problem of large palatal fistulas in adult cleft patients. The most useful indication for this flap is a large longitudinal palatal fistula, extending to the alveolar process. Asymmetrical tongue shape after surgery is the rule and speech improvement depends on patient's age and location of fistula.

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“…9 The flaps used for the reconstruction of tongue cancer defects are classified into different types according to their site of harvest. 10 Of these, anterolateral thigh free flaps (ALTFFs) have been commonly used in the past three decades. The other types include radial/upper forearm, pectoralis major, and contralateral nasal free flaps.…”

Section: Introductionmentioning

confidence: 99%

<p>Short-Term Quality of Life, Functional Status, and Their Predictors in Tongue Cancer Patients After Anterolateral Thigh Free Flap Reconstruction: A Single-Center, Prospective, Comparative Study</p>

Tamer¹,

Chen²,

Xu³

et al. 2020

CMAR

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Tongue flap revisited

Abstract: Dorsal tongue flap is a simple and reliable flap for intra oral reconstruction. It provides good functional results without much morbidity.

Cited by 23 publications

References 13 publications

To study the usefulness of islanded tongue flap reconstruction for carcinoma buccal mucosa defect

To study the usefulness of islanded tongue flap reconstruction for carcinoma buccal mucosa defect

Posteriorly based lateral tongue flap for reconstruction of large palatal-alveolar fistulas in cleft patients

<p>Short-Term Quality of Life, Functional Status, and Their Predictors in Tongue Cancer Patients After Anterolateral Thigh Free Flap Reconstruction: A Single-Center, Prospective, Comparative Study</p>

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