We ought to report an unusual case of a 49-year-old patient who underwent delayed reconstruction of the oral cavity defect, with an anterolateral thigh flap, two years after surgical demolition and adjuvant chemo-radiotherapy. At the end of oncologic treatment, he could not eat through oral route and presented evident speech articulation difficulties. After surgical reconstruction, swallowing assessment showed an improvement of swallowing with no gross signs of airways inhalation. His understandability of speech improved as well. Delayed reconstruction by a microvascular free flap with exclusive functional rehabilitation intent is feasible and may have satisfactory functional outcomes.
Microvascular reconstruction two years after subtotal glossectomy: Is it worth it? / Gabriele Molteni; Michael Ghirelli; Giulia Molinari; Livio Presutti. - In: JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY. - ISSN 2468-7855. - ELETTRONICO. - 120:1(2019), pp. 49-54. [10.1016/j.jormas.2018.08.006]
Microvascular reconstruction two years after subtotal glossectomy: Is it worth it?
Livio PresuttiUltimo
2019
Abstract
We ought to report an unusual case of a 49-year-old patient who underwent delayed reconstruction of the oral cavity defect, with an anterolateral thigh flap, two years after surgical demolition and adjuvant chemo-radiotherapy. At the end of oncologic treatment, he could not eat through oral route and presented evident speech articulation difficulties. After surgical reconstruction, swallowing assessment showed an improvement of swallowing with no gross signs of airways inhalation. His understandability of speech improved as well. Delayed reconstruction by a microvascular free flap with exclusive functional rehabilitation intent is feasible and may have satisfactory functional outcomes.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
