Single-Stage Tongue Reconstruction in Early Malignant Lesions (T2–T3) with Islanded Nasolabial Flap: Reliable Alternative to Free Radial Artery Forearm Flap in Rural Set Up.

Autor: Goyal, Richa, Fidvi, Al-Iqyan, Singh, Chandra Veer, Gupta, Deepak, Gupta, Prasheelkumar
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Zdroj: Indian Journal of Surgery; Aug2021, Vol. 83 Issue 4, p1004-1009, 6p
Abstrakt: Nasolabial flaps are widely used in reconstruction of orofacial structures using trans-buccal tunnel in two stages. Inferiorly based islanded nasolabial flaps can be harvested with meticulous skeletonization of facial vessels proximal to flap and transferred behind mandible through mylohyoid tunnel. This variation in technique of harvest and transfer increases the flap distal reach, avoids restriction in tongue mobility and allows single-stage tongue reconstruction. We present a series of operated patients of early lesions of tongue carcinoma with this newer technical modification and their functional outcome. This study included biopsy proven 8 patients diagnosed with early stage (T2, T3) carcinoma tongue. Single-stage islanded nasolabial flaps based on facial artery and vein were harvested and tunnelled behind mandible onto the tongue defect. Follow up of all patients was recorded with respect to speech, deglutition and tongue mobility. All operated patients had good functional outcome in terms of swallowing, speech and tongue mobility. All patients were satisfactory with the postoperative results. In comparison to microvascular reconstruction, this option justifies a reliable and a cost-effective approach especially in co-morbid patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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