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Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap
Tongue cancer is the most common malignant neoplasm of the oral cavity. Occurrence in the tip of the tongue (TOT) is rare. We describe a case report of a TOT tumor excision and reconstruction with a prelaminated fasciomucosal radial forearm free flap. A 41-year-old white man was referred to our depa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787281/ https://www.ncbi.nlm.nih.gov/pubmed/33425574 http://dx.doi.org/10.1097/GOX.0000000000003226 |
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author | De Santis, Giorgio Mattioli, Francesco Pinelli, Massimo Martone, Andrea Starnoni, Marta Fermi, Matteo Presutti, Livio |
author_facet | De Santis, Giorgio Mattioli, Francesco Pinelli, Massimo Martone, Andrea Starnoni, Marta Fermi, Matteo Presutti, Livio |
author_sort | De Santis, Giorgio |
collection | PubMed |
description | Tongue cancer is the most common malignant neoplasm of the oral cavity. Occurrence in the tip of the tongue (TOT) is rare. We describe a case report of a TOT tumor excision and reconstruction with a prelaminated fasciomucosal radial forearm free flap. A 41-year-old white man was referred to our department for a squamous cell carcinoma of the tip of the tongue. The patient worked as an air traffic control official; therefore, conservation of speech intelligibility, both in Italian and English language, was of paramount importance. A transoral excision of TOT, bilateral selective neck dissection, and reconstruction with prelaminated fasciomucosal radial forearm free flap were performed. Adjuvant radiotherapy was necessary. The patient was completely re-established as an air traffic control officer. Successful tongue reconstruction of smaller defects depends on thinness, pliability of flap, and conservation of tongue mobility. Surgical options for TOT reconstruction are facial artery muscolomucosa flap, Zhao flap, radial forearm free flap, or primary suture. In the authors’ opinion, a fasciomucosal prelaminated RFFF offers a series of advantages for TOT reconstruction. The absence of subcutaneous tissue makes the PFRFFF much thinner than fascio-cutaneous flaps. Compared with mucosal loco-regional flaps, prelaminated flaps allow the preservation of oral mucosa lining while providing adequate bulk and reduced scar formation for optimal func- tional recovery. In our case report, the fasciomucosal flap allowed an adequate reconstruction of TOT volume with good functional and aesthetic outcomes. The flap’s added bulk and its minimal scar retraction granted free tongue movement and optimal speech intelligibility. |
format | Online Article Text |
id | pubmed-7787281 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-77872812021-01-07 Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap De Santis, Giorgio Mattioli, Francesco Pinelli, Massimo Martone, Andrea Starnoni, Marta Fermi, Matteo Presutti, Livio Plast Reconstr Surg Glob Open Reconstructive Tongue cancer is the most common malignant neoplasm of the oral cavity. Occurrence in the tip of the tongue (TOT) is rare. We describe a case report of a TOT tumor excision and reconstruction with a prelaminated fasciomucosal radial forearm free flap. A 41-year-old white man was referred to our department for a squamous cell carcinoma of the tip of the tongue. The patient worked as an air traffic control official; therefore, conservation of speech intelligibility, both in Italian and English language, was of paramount importance. A transoral excision of TOT, bilateral selective neck dissection, and reconstruction with prelaminated fasciomucosal radial forearm free flap were performed. Adjuvant radiotherapy was necessary. The patient was completely re-established as an air traffic control officer. Successful tongue reconstruction of smaller defects depends on thinness, pliability of flap, and conservation of tongue mobility. Surgical options for TOT reconstruction are facial artery muscolomucosa flap, Zhao flap, radial forearm free flap, or primary suture. In the authors’ opinion, a fasciomucosal prelaminated RFFF offers a series of advantages for TOT reconstruction. The absence of subcutaneous tissue makes the PFRFFF much thinner than fascio-cutaneous flaps. Compared with mucosal loco-regional flaps, prelaminated flaps allow the preservation of oral mucosa lining while providing adequate bulk and reduced scar formation for optimal func- tional recovery. In our case report, the fasciomucosal flap allowed an adequate reconstruction of TOT volume with good functional and aesthetic outcomes. The flap’s added bulk and its minimal scar retraction granted free tongue movement and optimal speech intelligibility. Lippincott Williams & Wilkins 2020-12-02 /pmc/articles/PMC7787281/ /pubmed/33425574 http://dx.doi.org/10.1097/GOX.0000000000003226 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Reconstructive De Santis, Giorgio Mattioli, Francesco Pinelli, Massimo Martone, Andrea Starnoni, Marta Fermi, Matteo Presutti, Livio Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap |
title | Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap |
title_full | Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap |
title_fullStr | Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap |
title_full_unstemmed | Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap |
title_short | Tip of the Tongue Reconstruction with Prelaminated Fasciomucosal Radial Forearm Free Flap |
title_sort | tip of the tongue reconstruction with prelaminated fasciomucosal radial forearm free flap |
topic | Reconstructive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7787281/ https://www.ncbi.nlm.nih.gov/pubmed/33425574 http://dx.doi.org/10.1097/GOX.0000000000003226 |
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