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Related Experiment Video

Updated: Jun 23, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Intermediate Volume Glossectomy Defects Reconstruction: Flap Versus Primary Closure.

Jidapa Pradit1, Wisarut Samuckkeethum1

  • 1Department of Otolaryngology, Faculty of Medicine Chulalongkorn University Bangkok Thailand.

OTO Open
|June 22, 2026
PubMed
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See all related articles

Flap reconstruction after oral tongue cancer surgery significantly improves quality of life, especially swallowing and speech. However, it requires longer operative times and has higher complication rates compared to primary closure.

Area of Science:

  • Head and Neck Surgery
  • Oral Oncology
  • Reconstructive Surgery

Background:

  • Oral tongue carcinoma is a common head and neck cancer.
  • Surgical resection, including glossectomy, is a primary treatment modality.
  • Reconstruction methods aim to restore function and quality of life post-surgery.

Purpose of the Study:

  • To compare quality-of-life (QoL) outcomes between flap reconstruction and primary closure following intermediate-volume glossectomy for oral tongue carcinoma.
  • To evaluate the impact of reconstruction method on functional domains such as swallowing and speech.

Main Methods:

  • A retro-prospective cross-sectional study included 70 patients undergoing partial to hemi-glossectomy.
  • Patients were grouped by reconstruction method: flap reconstruction versus primary closure.
Keywords:
flap reconstructionhemi‐glossectomyintermediate volume glossectomypartial glossectomyprimary closure

Related Experiment Videos

Last Updated: Jun 23, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

  • QoL was assessed using the EORTC QLQ-H&N35 questionnaire 6-12 months post-treatment, with multivariable analysis performed.

    • Main Results:

    • Flap reconstruction was associated with significantly better overall QoL (lower HN35 scores) and improved swallowing and speech domains compared to primary closure.
    • Multivariable analysis confirmed flap reconstruction's independent association with better QoL, swallowing, and speech.
    • Despite improved QoL, flap reconstruction involved longer operative times and higher rates of wound complications (14.3% vs 0%).

    Conclusions:

    • Flap reconstruction offers significant QoL benefits, particularly for swallowing and speech, in patients undergoing glossectomy for oral tongue cancer.
    • The advantages of flap reconstruction must be weighed against increased operative time and wound complication risks.
    • Further prospective studies are recommended to validate these findings and optimize patient selection for reconstruction methods.