Mouth Floor Reconstruction Using Tongue Flap

The docs have said i will need a tongue reconstruction via a radial forearm flap and a neck dissection.

Mouth floor reconstruction using tongue flap. Floor of mouth reconstruction george n. Medially the floor of the mouth fom merges. A subcutaneous pedicled flap can be raised inferiorly in the reconstruction of moderate sized defects in the face and the floor of the mouth. Removed several nodes from the right side and then reconstructed the right tongue and floor of the mouth with a muscle from.

The function of the tongue oral intake and mastication were not impaired. Although free flaps perforator flaps or even skin grafts can be designed for buccal reconstruction they may not provide good mucosal sensitivity motility. The current study was undertaken to evaluate a novel approach to tongue and mouth floor reconstruction using the myofascial vastus lateralis free flap mvlf. The surgical techniques benefits complication rate and the aesthetic and functional results are described.

Your surgeon might take tissue from an area such as the bowel or the muscles in the arms back or tummy and use this to replace sections of the mouth or throat. They don t think it has spread and that depending on the histology reports on the nodes may avoid radiotherapy. Our experience with the myofascial p m flap for intraoral reconstruction in 14 patients with squamous cell carcinomas of the anterior floor of mouth 8 and tongue 4 are described and discussed. The direction of pull upward and laterally has an effect in holding the tongue up and preventing it from sinking down into the mouth during healing 3.

Alejandro conejero evan s. The flap provided the correct anatomical oral reconstruction for the anterior mouth floor and ventral tongue. An operation that moves tissue from one part of the body to another is called a reconstruction free flap or flap repair. A mouth floor mucosal flap was developed to reconstruct medium sized intraoral buccal defects too large for primary closure if major functional and aesthetic impairment is to be avoided.

The aim of this case is to describe a method reconstruction of the tongue in patients after total glossectomy with the removal of the oral floor muscles using the chimeric. Garfein anatomy the floor of mouth is a u shaped mucosal structure covered by squamous mucosa that is bordered by the alveolar ridge of the mandible and extends posteriorly to the anterior tonsillar pillar fig 1a.