Volume 16, Number 4, December 2004

Reconstruction Following Resection of Tongue Base Cancer Using Set-back Tongue Flap

Tong Tong Lu, Wen Feng Zhang, Yi Fang Zhao

Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, China

Objective: To report the use of the set-back tongue flap for reconstruction following resection of tongue base cancer.
Patients and Methods: Resection of tongue base cancer was performed via a transoral approach in 6 patients and via a transhyoid approach in 1 patient. Set-back tongue flaps were used to repair the defects created by resection of the tumour. The functional rehabilitation was evaluated at follow-up examinations.
Results: One patient had two-thirds necrosis of the flap, while 6 patients had complete survival of the flaps. The flap maintained its bulk with little atrophy. Postoperative clinical examination showed that the tongue mobility, swallowing, and speech were good except for 1 patient who had tongue base cancer resection with partial supraglottic laryngectomy.
Conclusion: Set-back tongue flap is a clinically viable method of reconstruction for selected patients following resection of tongue base cancer.

Key words:
Reconstructive surgical procedures, Surgical flaps, Tongue neoplasms

Asian J Oral Maxillofac Surg. 2004;16:218-223.
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