Evaluation of the results of tongue reconstruction using local flaps following partial glossectomy.

Abstract

Objective: Tongue reconstruction results following partial glossectomy using primary closure and local tissue rearrangement were evaluated in this study.

Methods: 7 patients diagnosed with tongue carcinoma were included. Tongue defects were reconstructed using local transposition, advancement and rotation of the remaining tongue tissue and closure of the defect. The patients were evaluated 6 months and 1 year following the surgery.

Results: None of the patients had permanent speech impairments or major swallowing problems following the surgery despite 33% to 50% reduction in tongue length.

Conclusion: Unnecessary utilization of microvascular flaps for partial tongue reconstruction should be avoided in partial glossectomy patients in which reduction in tongue length is below 50%.