The aim of the present study is to assess functional outcomes after hemiglossectomy and microvascular reconstruction. Twenty-six patients underwent primary tongue microvascular reconstruction after hemiglossectomy. Twelve patients were reconstructed using a free radial forearm flap and 14 with an anterolateral thigh flap. Speech intelligibility, swallowing capacity and quality of life scores were assessed. Factors such as tumour extension, surgical resection and adjuvant radiotherapy appeared to be fundamental to predict post-treatment functional outcomes. The data obtained in the present study indicate that swallowing capacity after hemiglossectomy is better when an anterolateral thigh flap is used. No significant differences were seen for speech intelligibility or quality of life between free radial forearm flap and anterolateral thigh flap.
Tarsitano A, Vietti MV, Cipriani R, Marchetti C (2013). FUNCTIONAL RESULTS OF MICROVASCULAR RECONSTRUCTION AFTER HEMIGLOSSECTOMY: FREE ANTEROLATERAL THIGH FLAP VERSUS FREE FOREARM FLAP. ACTA OTORHINOLARYNGOLOGICA ITALICA, 33, 374-379.
FUNCTIONAL RESULTS OF MICROVASCULAR RECONSTRUCTION AFTER HEMIGLOSSECTOMY: FREE ANTEROLATERAL THIGH FLAP VERSUS FREE FOREARM FLAP
TARSITANO, ACHILLE;CIPRIANI, RICCARDO;MARCHETTI, CLAUDIO
2013
Abstract
The aim of the present study is to assess functional outcomes after hemiglossectomy and microvascular reconstruction. Twenty-six patients underwent primary tongue microvascular reconstruction after hemiglossectomy. Twelve patients were reconstructed using a free radial forearm flap and 14 with an anterolateral thigh flap. Speech intelligibility, swallowing capacity and quality of life scores were assessed. Factors such as tumour extension, surgical resection and adjuvant radiotherapy appeared to be fundamental to predict post-treatment functional outcomes. The data obtained in the present study indicate that swallowing capacity after hemiglossectomy is better when an anterolateral thigh flap is used. No significant differences were seen for speech intelligibility or quality of life between free radial forearm flap and anterolateral thigh flap.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
