FREE GROIN FLAP FOR RECONSTRUCTION OF THE TONGUE AND ORAL FLOOR

Citation
R. Murakami et al., FREE GROIN FLAP FOR RECONSTRUCTION OF THE TONGUE AND ORAL FLOOR, Journal of reconstructive microsurgery, 14(1), 1998, pp. 49-55
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
ISSN journal
0743-684X
Volume
14
Issue
1
Year of publication
1998
Pages
49 - 55
Database
ISI
SICI code
0743-684X(1998)14:1<49:FGFFRO>2.0.ZU;2-9
Abstract
The authors report the use of free groin flaps to close intraoral defe cts in 24 patients following ablative tongue cancer surgery. The later al thin portion of the flap was used for tongue reconstruction, and th e deepithelialized medial thick portion for filling the mandibular def ect and for covering the important vessels in the neck. In lean patien ts, if the medial deepithelialized portion was too thin for adequate c overage, the proximal sartorius muscle was included to prevent postope rative orocervical fistula. The advantages of the groin flap in recons tructing the tongue and oral floor after hemiglossectomy include the f ollowing. (1) a suitable amount of tissue is available for both the to ngue and oral floor; (2) the important vessels in the neck may be prot ected with the flap, (3) the proximal sartorius muscle can be included with the flap, if necessary; (4) donor-site morbidity is less than wi th other flaps; and (5) flap elevation can be done concurrently with t he hemiglossectomy and radical neck dissection.