Abstract
ObjectiveTongue defect reconstruction is one of the key components of tongue cancer surgery. In this study, we used an L-shaped flap design adopted as a simple and efficient method to repair tongue defects after hemiglossectomy. Furthermore, we evaluated and contrasted the clinical effects of two methods, the L-shaped and traditional methods.Study designFifteen patients in the L-shaped group and 20 patients in the traditional group were evaluated and compared in terms of postoperative complications, dysphagia, language function and appearance satisfaction.ResultsThe results (Table 1) showed that there were 2 cases of donor area invalid traumas, and 2 patients had scar hyperplasia in the traditional group. The degree of global and functional dysphagia of the L-shaped group (2.60 ± 0.29 and 11.47 ± 1.38) was lower than that of the traditional group (3.55 ± 0.29 and 15.75 ± 1.22) (P < 0.05). In the language evaluation, the traditional group (3.20 ± 0.26) had lower scores than the L-shaped group (4.13 ± 0.30) (P < 0.05).ConclusionThe L-shaped ALTP flap is a simple and efficient modification of ALTP, that can be used for half-tongue repair after radical operations for tongue cancer. It has better performance in the recovery of dysphagia and language function than the traditional ALTP flap.
Highlights
The L-shaped anterolateral thigh flap (ALTP) flap is a simple and efficient modification of ALTP, that can be used for half-tongue repair after radical operations for tongue cancer
The tongue is the most common site of oral cancer, and most oral cancer cases are squamous cell carcinoma, which has a high degree of malignancy [1], a high rate of local recurrence, and commonly has early lymph node metastasis [2, 3]
General information From January 2017 to June 2019, 35 patients with tongue squamous cell carcinoma who underwent hemiglossectomy and tongue repair were selected as the study subjects
Summary
The tongue is the most common site of oral cancer, and most oral cancer cases are squamous cell carcinoma, which has a high degree of malignancy [1], a high rate of local recurrence, and commonly has early lymph node metastasis [2, 3]. The tongue plays an important role in swallowing and auxiliary pronunciation. Dysphagia and dysarthria can cause mental depression and malnutrition in patients with tongue cancer [5]. To avoid postoperative language and mastication dysfunctions caused by tongue defects and to improve the patients’ quality of life, it is very important to repair. Rui et al BMC Surgery (2022) 22:32 defects after radical operations for tongue cancer. Free flap transplantation is currently the most effective way to reconstruct the tongue after resection
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