FUNCTIONAL ASSESSMENT OF FREE RADIAL ARTERY FOREARM FLAP AFTER TONGUE RECONSTRUCTION FOLLOWING HEMIGLOSSECTOMY IN A TERTIARY CARE CENTRE OF CENTRAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 9
Abstract
BACKGROUND Primary closure following oncosurgical resection of ca. tongue has been found to compromise tongue function in regard to speech and swallowing very badly. In contras,t reconstruction of tongue with free radial forearm flap following oncosurgical resection has shown promising functional tongue The aim of this study was to assess the function of tongue after hemiglossectomy and reconstruction with free radial artery forearm flap. MATERIALS AND METHODS 30 Patients who had undergone reconstruction of tongue with FRAF flap following the hemiglossectomy or subtotal glossectomy for ca. tongue. RESULTS In 30 patients of tongue carcinoma, hemiglossectomy with modified radical neck dissection with radial forearm free flap reconstruction was done. After 3 months and 9 months follow up, the radial forearm free flap reconstruction in the tongue had acceptable appearance and good tongue mobility with intelligible speech on the basis of modified Washington score. The patient tongue function was improved compared to hemiglossectomised tongue. CONCLUSION Data obtained in the present study shows reasonable functional improvement in terms of speech, appearance, swallowing, saliva, chewing, taste, at the end of 3 months. Best functional score was not obtained at that point of time. Further during course of follow up at 9 months the improvement in tongue function was better and statistically significant.
Authors and Affiliations
Soniya Moses, Sachin Verma, Nitesh Chaukikar
Keywords
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- EP ID EP555153
- DOI 10.14260/jemds/2019/143
- Views 77
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