Functional Comparison after Reconstruction with a Radial Forearm Free Flap or a Pectoralis Major Flap for Cancer of the Tongue

2003 ◽  
Vol 128 (3) ◽  
pp. 412-418 ◽  
Author(s):  
Wan-Fu Su ◽  
Yi-Jan Hsia ◽  
Yen-Chine Chang ◽  
Shyi-Gen Chen ◽  
Hwa Sheng
Keyword(s):  
Free Flap ◽  
Speech Intelligibility ◽  
Dietary Habits ◽  
Pectoralis Major ◽  
Pectoralis Major Flap ◽  
Swallowing Function ◽  
Reconstruction Methods ◽  
Significant Difference ◽  
Radial Forearm ◽  
Tongue Reconstruction

OBJECTIVE: Numerous patients in Taiwan with tongue carcinoma require tongue reconstruction. We compared the abilities of 2 methods of tongue reconstruction to reserve tongue function. STUDY DESIGN AND SETTING: Sixty patients underwent resection of the tumors and reconstruction with a pectoralis major flap or a radial forearm flap. The Chinese articulation test was used to evaluate the place and manner of error production, and a questionnaire on dietary habits was used to evaluate deglutition 6 months to 10 years after reconstruction. RESULTS: Patients with the free flap had more intelligible speech. The questionnaire study showed no significant difference between the 2 groups in swallowing rating. Motility caused by flap pliability increased speech intelligibility more than it did on swallowing function. CONCLUSION: Our experience in a few selected patients shows that the functional outcome of tongue surgery is related to the reconstruction methods used (for speech) and to the extent of tongue resection (for swallowing).

scholarly journals Effect of tongue reconstruction following hemiglossectomy on articulation and speech intelligibility

2022 ◽  
Vol 7 (4) ◽  
pp. 103-106
Author(s):  
V Monish ◽  
V Jaya ◽  
R Johnsi Rani
Keyword(s):  
Free Flap ◽  
Speech Intelligibility ◽  
Rating Scale ◽  
Myocutaneous Flap ◽  
Pectoralis Major ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Speech Evaluation ◽  
Radial Forearm ◽  
Tongue Reconstruction

This study is aimed to investigate the articulatory functions of patients who have undergone tongue reconstruction following hemiglossectomy. The second aim of the study is to compare the speech intelligibility between hemiglossectomy patients who have undergone tongue reconstruction using pectoralis major myocutaneous with those hemiglossectomy patients who had undergone tongue reconstruction using radial forearm free flap.Fourteen patients who have undergone tongue reconstruction following hemiglossectomy as a treatment for oral cancer between the age of 30 to 60 years were taken up for this study. Tamil Articulation Test was used for assessing the articulatory functions of patients. The speech intelligibility of each patient was assessed using the Ali Yavar Jung National Institute for the Hearing Handicapped intelligibility rating scale. Analysis of articulatory errors revealed linguoalveolar consonants were more impaired when compared to other consonants. Patients with radial forearm free flap had somewhat better speech intelligibility compared to patients with pectoralis major myocutaneous flap reconstruction.The type of reconstruction also impacts the speech intelligibility. Effective intervention can be planned based on the comprehensive speech evaluation and analysis of articulatory error relative to place and manner of production.

Submental island flap versus radial forearm free flap for oral tongue reconstruction: a comparison of complications and functional outcomes

2019 ◽  
Vol 133 (05) ◽  
pp. 413-418 ◽  
Author(s):  
P Sittitrai ◽  
D Reunmakkaew ◽  
C Srivanitchapoom
Keyword(s):  
Free Flap ◽  
Functional Outcomes ◽  
Island Flap ◽  
Radial Forearm Free Flap ◽  
Oral Tongue ◽  
Swallowing Function ◽  
Significant Difference ◽  
Radial Forearm ◽  
Tongue Reconstruction ◽  
Submental Island Flap

AbstractObjectiveThis study compared the complications and functional outcomes of patients with oral tongue cancer who had undergone reconstruction using a submental island flap or a radial forearm free flap.MethodOf the 54 patients, 29 underwent reconstruction with a submental island flap and 25 patients with a radial forearm free flap. The complications and outcomes of speech and swallowing were evaluated.ResultsIn the submental island flap group, all the flaps were successfully transferred with no donor site complications. In the radial forearm free flap group, partial skin graft loss and arm function restriction were recorded. Mean operative time and duration of hospital stay were significantly shorter in the submental island flap group. Speech and swallowing function were comparable between the two groups. There was no significant difference in locoregional recurrence between the groups.ConclusionThe submental island flap is reliable and is suitable for oral tongue reconstruction. It has a lower complication incidence when compared to the radial forearm free flap, while maintaining speech and swallowing function.

Free flap combined with pectoralis major flap for reconstruction after total laryngopharyngectomy in patients with advanced hypopharyngeal carcinoma

2016 ◽  
Vol 136 (8) ◽  
pp. 841-846 ◽  
Author(s):  
Caiyun Zhang ◽  
Minhui Zhu ◽  
Mengjie Chen ◽  
Donghui Chen ◽  
Shicai Chen ◽  
...  
Keyword(s):  
Free Flap ◽  
Pectoralis Major ◽  
Hypopharyngeal Carcinoma ◽  
Pectoralis Major Flap

scholarly journals Swallowing Function in Patients With Base of Tongue Cancers Treated With Primary Surgery and Reconstructed With a Modified Radial Forearm Free Flap

2008 ◽  
Vol 134 (8) ◽  
pp. 857 ◽  
Author(s):  
Daniel Ambrose O’Connell ◽  
Jana Rieger ◽  
Jeffrey Richard Harris ◽  
Peter Dziegielewski ◽  
Jana Zalmanowitz ◽  
...  
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Swallowing Function ◽  
Base Of Tongue ◽  
Primary Surgery ◽  
Radial Forearm

scholarly journals Radial Forearm Flap for Tongue Reconstruction

2008 ◽  
Vol 23 (2) ◽  
pp. 43-45
Author(s):  
Rodney Oliver J. Aragon ◽  
Samantha Soriano –Castaneda ◽  
Joselito F. David
Keyword(s):  
Neck Dissection ◽  
Free Flap ◽  
Donor Site ◽  
Radical Neck Dissection ◽  
Functional Restoration ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Radial Forearm ◽  
Tongue Reconstruction

Objective: To present a case of tongue reconstruction using radial forearm free flap. Methods: Design: Case Report Setting:  Tertiary government hospital Patient: One Results: A 52-year- old female with a T3N2cM0 Stage IVa right tongue carcinoma underwent tracheotomy, right hemiglossectomy with modified radical neck dissection type III and extended supraomohyoid neck dissection on the left with radial forearm free flap reconstruction. After 1 month, the radial forearm free flap reconstruction in the tongue had acceptable appearance and good tongue mobility with intelligible speech. The patient did not complain about the appearance and function of the left forearm. Conclusion: The radial forearm free flap is a viable reconstructive option for tongue defects especially where a thin, pliable flap is needed. There is acceptable form and functional restoration with minimal donor site morbidity. Keywords: radial forearm free flap, tongue reconstruction

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