Free Radial Artery Forearm Flap: Advancements in Tongue Reconstruction | Chapter 4 | Key Flaps in Plastic Surgery

This book chapter presents a case report and discussion on the use of the free radial artery forearm flap for reconstructing a defect in the lateral border of the tongue caused by squamous cell carcinoma. The chapter provides a detailed account of the case presentation, operative procedure, and postoperative period, along with a comprehensive discussion of the free radial artery forearm flap technique.

The case presentation describes a patient with a progressive swelling in the right lateral border of the tongue, clinically suggestive of malignancy. Histopathological examination confirmed moderately differentiated squamous cell carcinoma. The diagnosis was determined to be Stage III (T3N0M0) squamous cell carcinoma involving the right lateral border of the tongue.

The operative procedure involved wide local resection with right hemi glossectomy and reconstruction of the tongue using a free radial artery forearm flap. The tumour was resected with a safe margin, and the defect was measured. The free radial artery forearm flap was marked and raised, preserving its vascular pedicle. The flap was transferred to the oral cavity, and microvascular anastomosis was performed to ensure proper blood flow. The reconstruction of the tongue was achieved, and the donor site in the forearm was closed primarily.

The postoperative period remained uneventful, and satisfactory results were observed during follow-up examinations. Intraoral and photograph showed the satisfactory healing of the reconstructed tongue and the donor site of the free radial artery forearm flap at six months of follow-up.

The discussion section of the chapter introduces the free radial artery forearm flap technique, highlighting its significance in reconstructive surgery, particularly for complex defects in the head, neck, and extremities. The surgical technique, including donor site preparation, flap elevation, recipient site preparation, flap transfer, and microvascular anastomosis, is described in detail. The advantages of the free radial artery forearm flap, such as its versatility, adequate tissue volume, and reliability, are discussed. The limitations, including donor site morbidity, technical complexity, and potential complications, are also addressed.

In conclusion, this book chapter offers valuable insights into the use of the free radial artery forearm flap for reconstructing a defect in the lateral border of the tongue. Through the presentation of a case report, operative details, and a comprehensive discussion, the chapter highlights the efficacy and considerations of the free radial artery forearm flap technique in achieving successful outcomes in reconstructive surgery.

Author(s) Details:

Mohd. Altaf Mir,
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS),Bathinda-151001, India.

Jaya Jain,
All India Institute of Medical Sciences (AIIMS), Bathinda-151001, India.

Please see the link here: https://stm.bookpi.org/KFPS/article/view/11499

Submental Flap: A Valuable Technique for Tongue Reconstruction | Chapter 3 | Key Flaps in Plastic Surgery

 This book chapter presents a case report and discussion on the use of the submental flap for reconstructing a defect in the lateral border of the tongue caused by squamous cell carcinoma. The chapter provides a detailed account of the case presentation, operative procedure, and postoperative period, along with a comprehensive discussion of the submental flap technique.

The case presentation describes a patient with a progressive swelling in the left lateral border of the tongue, clinically suggestive of malignancy. Histopathological examination confirmed moderately differentiated squamous cell carcinoma. The diagnosis was determined to be Stage III (T3N0M0) squamous cell carcinoma involving the left lateral border of the tongue.

The operative procedure involved wide local resection with left hemi glossectomy and reconstruction of the tongue using a submental flap. The tumour was resected with a safe margin, and the defect was measured. The submental flap was marked and raised, preserving its vascular pedicle. The flap was transferred to the oral cavity through a window in the floor of the mouth, and the reconstruction of the tongue was achieved. The donor site in the submental region was closed primarily.

The postoperative period remained uneventful, and satisfactory results were observed during follow-up examinations. Intraoral and worm's eye view photographs demonstrated the satisfactory healing of the reconstructed tongue and the submental flap donor site at nine months of follow-up.

The discussion section of the chapter introduces the submental flap technique, highlighting its significance in reconstructive surgery, particularly in the head and neck region. The surgical technique, including patient evaluation, flap elevation, transposition, and closure, is described in detail. The advantages of the submental flap, such as its proximity to the affected area, robust blood supply, and adequate tissue volume, are discussed. The limitations, including size and location of defects, scar visibility, and potential donor site morbidity, are also addressed.

In conclusion, this book chapter offers valuable insights into the use of the submental flap for reconstructing a defect in the lateral border of the tongue. Through the presentation of a case report, operative details, and a comprehensive discussion, the chapter highlights the efficacy and considerations of the submental flap technique in achieving successful outcomes in head and neck reconstructive surgery.

Author(s) Details:

Mohd. Altaf Mir,
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS),Bathinda-151001, India.

Jaya Jain,
All India Institute of Medical Sciences (AIIMS), Bathinda-151001, India.

Please see the link here: https://stm.bookpi.org/KFPS/article/view/11498

Reconstruction of Glossectomy Defects Post Oncologic Resection of Malignant Tumors | Chapter 11 | Research Developments in Medicine and Medical Science Vol. 2

 The language is a muscular organ that is to say essential to unrefined speech and swallowing, and athletic tongue function is lively for the overall quality of life. Nowadays, Tongue malignancy has been increasing with oral malignancy patients. In the case of resection of the language tumor, cosmetic surgery is required to restore allure function in a majority of patients. Therefore, A review item illustrates the current information of tongue cancer accompanying emphasis on the various treatment options that are available for the rebuilding of glossectomy defects.

Author(s) Details:

Sara Elbaz,
Surgical Oncology Department, Oncology Center Mansoura University (OCMU), Mansoura, Egypt.

Shadi Awny,
Surgical Oncology Department, Oncology Center Mansoura University (OCMU), Mansoura, Egypt.

Ashraf Shoma,
General Surgery Department, Mansoura University Hospital, Mansoura, Egypt.

Please see the link here: https://stm.bookpi.org/RDMMS-V2/article/view/9962