| Abstrakt: |
Background: Oral cancer is one of the most common cancers not only in India but also in South Asia. Treatment of oral cancer is not only limited to cure but also requires good reconstruction of the surgical defects for a better quality of life. There are many well-proven options for reconstruction purposes for the defects of the oral cavity, including local regional flaps to microvascular‑free flaps. After resections of mobile parts of the tongue (up to 50%), speech and swallowing are impaired significantly; however, even after sophisticated plastic reconstruction, serious swallowing and speech problems persist. Methods: The clinical study was carried out to on 30 patients having carcinoma of the tongue. They were allocated into two treatment test group, one was the radial forearm flap and the other was infrahyoid myocutaneousflap (IHF) group to evaluate and compare the treatment outcome for reconstruction using two different treatment modalities. The prospective clinical trial was carried out after the allocation of patients with carcinoma of the tongue into two treatment test groups. The clinical parameters, likewise swallowing reflex, speech analysis, and tongue movements, were evaluated using IBM SPSS Statistics for Windows software, 20.0 (IBM Corp., Armonk, USA). Both descriptive statistics and the inferential statistics involving one-way ANOVA and Tukey’s Post hoc test were analyzed to compare both intergroup and intragroup comparison at different time intervals. Results: The swallowing and aspiration analysis showed a highly statistically significant difference at 3 months and 6 months by Post hoc test between the groups. The results for tongue movements were statistically significant, henceforth better for the IHF group. Conclusion: The infrahyoid flap is a quick, easy, and reliable reconstructive method, which is cost‑effective when used with knowledge of its clinical utility and limitations, the functional results are excellent with great patient satisfaction. [ABSTRACT FROM AUTHOR] |
