Open AccessNovel technique using tensor fascia lata graft to reconstruct a floor of mouth postablative defect from invasive ectopic papillary carcinoma of the thyroglossal duct tract
Author(s) -
David Izadi,
Saif Al-Zahid,
Joel Smith,
Christopher Glenn Wallace
Publication year - 2019
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/rcsann.2019.0083
Subject(s) - fascia lata , hyoid bone , medicine , floor of mouth , thyroglossal duct , sling (weapon) , anatomy , tongue , tongue neoplasm , surgery , pathology , cyst
We describe a rare case of ectopic papillary thyroid cancer in the thyroglossal duct tract invading the floor-of-mouth musculature. The postablative defect was reconstructed with a bone-anchored tensor fascia lata graft to resuspend the floor of mouth to the mandible as a neogeniohyoid sling, enabling maintenance of a functional tongue position for normal speech and swallowing. This reconstruction should be considered when suprahyoid musculature is resected without breaching the oral lining.