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Related Experiment Videos

Sliding posterior tongue flap.

Z N Chicarilli

    Plastic and Reconstructive Surgery
    |May 1, 1987
    PubMed
    Summary

    A modified hemitongue advancement flap offers improved tongue base extensibility for reconstructing midlateral tongue defects. This technique preserves speech and swallowing functions while allowing early denture use.

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    Area of Science:

    • Surgical Oncology
    • Oral and Maxillofacial Surgery
    • Reconstructive Surgery

    Background:

    • Midlateral tongue defects pose challenges for reconstruction, potentially impacting speech and swallowing.
    • Existing reconstructive techniques may lead to functional deficits or complications with prosthetic rehabilitation.

    Purpose of the Study:

    • To present a modified hemitongue advancement flap technique.
    • To evaluate its efficacy in reconstructing T2 midlateral tongue defects.
    • To assess functional outcomes, including speech, deglutition, and denture use.

    Main Methods:

    • A modification of the standard hemitongue advancement flap was developed.
    • The technique was applied to reconstruct T2 midlateral tongue defects (4-6 cm).
    • Functional outcomes were assessed post-operatively.

    Main Results:

    • The modified flap provides enhanced extensibility to the tongue base.
    • Reconstruction of defects up to 6 cm was achieved.
    • Minimal compromise in tongue mobility was observed, preserving speech and deglutition.
    • The flap's minimal bulk facilitated early use of lower dentures without adjustment.

    Conclusions:

    • The modified hemitongue advancement flap is a viable option for T2 midlateral tongue defects.
    • This technique effectively balances oncologic reconstruction with functional preservation.
    • It offers advantages in early prosthetic rehabilitation compared to other methods.

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