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Function of the sensate free forearm flap after partial glossectomy
Federico Biglioli1, Fabio Liviero, Alice Frigerio
1Department of Maxillo-Facial Surgery , San Paolo University Hospital, Milan, Italy. federico.biglioli@unimi.it
Summary
Sensitive free forearm flaps significantly improve functional recovery after partial glossectomy compared to non-sensitive flaps. This leads to better speech, swallowing, and overall quality of life for patients.
Area of Science:
- Reconstructive Surgery
- Oral Oncology
- Neurosensory Function
Background:
- Partial glossectomy for cancer treatment can impair oral functions.
- Forearm flaps are used for reconstruction, but sensory feedback is a concern.
Purpose of the Study:
- To compare functional recovery between sensitive and non-sensitive free forearm flaps after partial glossectomy.
- To evaluate sensory, speech, and subjective functional outcomes.
Main Methods:
- Sixteen patients with partial glossectomy were divided into two groups: 9 with non-sensitive flaps and 7 with sensitive flaps.
- Comprehensive assessments included tactile sensitivity, speech (Fanzago test), and subjective evaluations of swallowing, feeding, and talking.
Main Results:
- Sensitive free forearm flaps demonstrated superior functional recovery compared to non-sensitive flaps.
- Objective tests and subjective reports indicated better outcomes in the sensitive flap group.
Conclusions:
- Free forearm neurofasciocutaneous flaps facilitate good recovery of oral functions post-partial glossectomy.
- Utilizing sensitive flaps enhances patient quality of life through improved oral function.