Free groin flap for reconstruction of the tongue and oral floor

Journal of Reconstructive Microsurgery
R MurakamiK Shigeno

Abstract

The authors report the use of free groin flaps to close intraoral defects in 24 patients following ablative tongue cancer surgery. The lateral thin portion of the flap was used for tongue reconstruction, and the deepithelialized medial thick portion for filling the mandibular defect and for covering the important vessels in the neck. In lean patients, if the medial deepithelialized portion was too thin for adequate coverage, the proximal sartorius muscle was included to prevent postoperative orocervical fistula. The advantages of the groin flap in reconstructing the tongue and oral floor after hemiglossectomy include the following: (1) a suitable amount of tissue is available for both the tongue and oral floor; (2) the important vessels in the neck may be protected with the flap; (3) the proximal sartorius muscle can be included with the flap, if necessary; (4) donor-site morbidity is less than with other flaps; and (5) flap elevation can be done concurrently with the hemiglossectomy and radical neck dissection.

Citations

Aug 15, 2006·Urology·Bekir AtikCengiz Demir
Aug 21, 2002·Annals of Plastic Surgery·Seng-Feng JengChih-Yen Chien
Jul 4, 2006·Plastic and Reconstructive Surgery·Samir MardiniFu-Chan Wei
Sep 2, 2005·International Journal of Clinical Oncology·Yoshihiro KimataSatoshi Ebihara
Mar 25, 2006·Surgical and Radiologic Anatomy : SRA·Clarice TanakaAldo Junqueira Rodrigues Junior
Jul 19, 2017·Burns and Trauma·Sadanori AkitaHiroyuki Ohjimi
Sep 24, 2021·The Annals of Otology, Rhinology, and Laryngology·Patrick TassoneRobert Zitsch

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