Abstract
The rationale, technic, and results obtained in using a free split-thickness skin graft to develop a new lateral border of the tongue, a new floor of the mouth, and a new buccal mucosa has been presented. These new areas are created to decrease the serious functional and cosmetic problems which are unavoidable when the tongue is sutured to the cheek, as in the usual full-fledged “commando” operation. The advantages of immediate skin grafting in the “commando” patient are numerous, since the maximum amount of rehabilitative surgery is accomplished in a single, one stage, composite operation. The inevitable postoperative scarring and contracture are, to a great degree, eliminated by the immediate application of a graft. The results indicate that there need be no increase in morbidity or mortality if strict observance of the contraindications is followed. The technic, we believe, has proved to be extremely worthwhile, to warrant wider use, and to merit further investigation and endorsement.
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