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Titolo:
Functional hemitongue reconstruction with the microvascular ulnar forearm flap
Autore:
Salibian, AH; Allison, GR; Armstrong, WB; Krugman, ME; Strelzow, VV; Kelly, T; Brugman, JJ; Hoerauf, P; McMicken, BL;
Indirizzi:
Univ Calif Irvine, Irvine Med Ctr, Div Plast Surg, Orange, CA 92668 USA Univ Calif Irvine Orange CA USA 92668 iv Plast Surg, Orange, CA 92668 USA Univ Calif Irvine, Med Ctr, Dept Otolaryngol, Orange, CA 92668 USA Univ Calif Irvine Orange CA USA 92668 t Otolaryngol, Orange, CA 92668 USA Western Med Ctr, Ctr Disorders Head & Neck, Santa Ana, CA 92711 USA Western Med Ctr Santa Ana CA USA 92711 ad & Neck, Santa Ana, CA 92711 USA
Titolo Testata:
PLASTIC AND RECONSTRUCTIVE SURGERY
fascicolo: 3, volume: 104, anno: 1999,
pagine: 654 - 660
SICI:
0032-1052(199909)104:3<654:FHRWTM>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
ORAL CAVITY; INTRAORAL RECONSTRUCTION; TONGUE RECONSTRUCTION; GLOSSECTOMY; CANCER; RESECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Salibian, AH 1201 W La Veta Ave, Orange, CA 92868 USA 1201 W La Veta Ave Orange CA USA 92868 Orange, CA 92868 USA
Citazione:
A.H. Salibian et al., "Functional hemitongue reconstruction with the microvascular ulnar forearm flap", PLAS R SURG, 104(3), 1999, pp. 654-660

Abstract

Thirteen patients with squamous cell carcinoma of the tongue underwent full-thickness longitudinal resection of the hermitongue and immediate microvascular reconstruction using a large, contoured ulnar forearm flap. Six of the 13 patients had a composite resection for which an additional vascularized iliac crest graft was used to reconstruct the mandible and to provide support to the overlying contoured flap. To increase tongue mobility, the skin flap was designed for independent reconstruction of the hemitongue and die floor of mouth. Twelve patients were evaluated for swallowing and speech, including dietary assessment, cineradiography, and voice spectrographic analysis. Contrast cineradiography was performed to determine oral tongue mobility during the first phase of swallow. Nine patients with a narrow reconstructed tongue root and a large surface area in the floor of the mouth had good tongue mobility, allowing them to transfer food dynamically from the mouth into the pharynx for swallowing. The remaining three patients, who had a wide tongue root and an ill-defined floor of the mouth, had decreased tongue mobility andpoor oral transport. The functional outcome of swallowing and speech strongly correlated with the shape of the root of the tongue, the proximity of the reconstructed tongue to the palate, and the surface area of the floor ofthe mouth.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/07/20 alle ore 06:39:44