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19.05.2017 | Original Article | Ausgabe 3/2017

Oral and Maxillofacial Surgery 3/2017

Compartmental tongue resection with submental island flap reconstruction for large carcinoma of the oral tongue

Zeitschrift:
Oral and Maxillofacial Surgery > Ausgabe 3/2017
Autoren:
Sameh Roshdy, Mohamed Elbadrawy, Ashraf Khater, Islam A. Elzahaby, Tamer Fady, Hend A. El-Hadaad, Nazem Shams, Hany M. Elbarbary
Wichtige Hinweise
The original version of this article was revised: One of the sharing author surgeon, Islam A. Elzahaby, was missing in the original version of this article. He needs to be included as fourth author.
An erratum to this article is available at https://​doi.​org/​10.​1007/​s10006-017-0638-x.

Abstract

Background

Tongue resection is a surgical challenge because of its adverse effects on language articulation, swallowing, respiration, the eventual quality of life, and poor prognosis of advanced disease. To date, the currently accepted standard treatment has been based on excision of the primary lesion with a 1.5–2-cm circumferential macroscopic margin. Compartmental tongue surgery (CTS) is a surgical technique that removes an anatomo-functional compartment containing the primary tumor.

Methods and techniques

This is a prospective study that was carried out from June 2012 to January 2015 for patients with carcinoma affecting oral tongue. We enrolled all cases with ≥T2 tongue cancer with or without infiltration of floor of the mouth. Patients underwent compartmental tongue resection with reconstruction using island submental flap.

Results

Pharyngeal tear occurred in two cases that were repaired by simple suture. Bleeding occurred in two cases with control of the affected vessels. Loco-regional recurrence was detected only in two cases that underwent CTS, while 18 patients who underwent traditional tongue resection had local recurrence.

Conclusion

CTS via pull through technique with submental island flap reconstruction for large tongue cancer has been evolved to improve oncologic resections, obtaining a better local control of disease and increased survival rate with concomitant successful functional and esthetic outcomes especially in elderly patients with serious comorbidities.

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