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Post-hemiglossectomy Reconstruction: Pilot Study on the Overall Functional Evaluation.

Giorgio Barbera1, Mattia Todaro2, Gianmarco Saponaro2

  • 1Department of Head and Neck, Maxillo Facial Surgery Unit, Integrated University Hospital Verona, Verona, Italy.

Annals of Maxillofacial Surgery
|February 17, 2025
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Summary
This summary is machine-generated.

Fasciocutaneous free flaps are crucial for tongue cancer reconstruction. Flap volume and range of motion (ROM) significantly impact speech, swallowing, and sleep outcomes after hemiglossectomy for oral cancer.

Keywords:
Free flapglossectomytongue reconstruction

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Area of Science:

  • Oncology
  • Head and Neck Surgery
  • Reconstructive Surgery

Background:

  • The tongue is vital for speech, swallowing, and sleep.
  • Tongue cancer is the most common intraoral cancer.
  • Fasciocutaneous free flap reconstruction is a primary surgical option.

Purpose of the Study:

  • To investigate functional outcomes after hemiglossectomy for tongue cancer.
  • To evaluate speech, swallowing, and sleep function post-reconstruction.
  • To identify key factors influencing functional recovery.

Main Methods:

  • Assessed six patients with advanced tongue squamous cell carcinoma.
  • Utilized objective tests (videonasal endoscopy, MRI) and subjective tools (MDADI, PSS-HN, ROM, Epworth, polygraphy).
  • Evaluated outcomes at 30 days (T0) and 6 months (T1) post-treatment.

Main Results:

  • Flap volume and range of motion (ROM) were critical for functional outcomes.
  • These factors correlated with improved swallowing (MDADI), speech (PSS-HN), and sleep (Epworth, RDI).
  • Both radial forearm and anterolateral thigh flaps were used.

Conclusions:

  • Tongue cancer reconstruction requires balancing tumor control and functional preservation.
  • Flap volume and ROM are key determinants of functional recovery after hemiglossectomy.
  • Optimizing these characteristics can enhance patient quality of life.