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Modification of the anterior‐posterior tongue rotation flap for oral tongue reconstruction
Author(s) -
Lu Junqin,
Chen Yahong,
Xia RongHui,
Shen Yi,
Zheng Zhiwei,
Sun Jian
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26409
Subject(s) - tongue , medicine , swallowing , glossectomy , surgery , cancer , tongue neoplasm , pathology
The aim of this study is to evaluate the efficacy and long‐term outcome of a modification of the anterior‐posterior tongue rotation flap used for reconstruction of tongue following cancer ablation. From April 2016 to September 2017, 21 consecutive patients with tumor classification (T2), lymph node classification (N0) tongue cancer on the anterior and middle one‐third portion were selected for this study. A modification of the anterior‐posterior tongue rotation flap was selected for tongue reconstruction after the cancer resection. Patient's scorings of swallowing, chewing, speech and taste were recorded. Patient after tongue flap reconstruction acquired satisfied tongue movement that allows normal functional outcomes for swallowing, chewing, speech and taste. Local tumor recurrence was not observed during the follow‐up examination (range, 12‐24 months). The modification of the anterior‐posterior tongue rotation flap was a safe and reliable treatment for medium‐size tongue cancer (T2N0), especially suitable to patients who cannot endure prolonged surgery.