Bindu Ameya, Kumar Vineet, Kulkarni Onkar S, Jaiswal Dushyant, Mathews Saumya, Mantri Mayur, Mokhale Kunal, Shankhdhar Vinay Kant
Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Homi Bhabha National Institute, Dr. E. Borges Road, Parel, Mumbai, 400012 Maharashtra India.
Indian J Surg Oncol. 2024 Sep;15(3):478-483. doi: 10.1007/s13193-024-01929-7. Epub 2024 Mar 26.
Tongue cancers are common in the spectrum of oral malignancies. In base of tongue cancers, tumour excision might lead to injury of ipsilateral or both lingual arteries, leading to ischemia of residual, native tongue. Free radial artery forearm flap is commonly used for tongue reconstruction. It can also be used as a flow-through flap for the reconstruction of the tongue defect as well as to revascularise the cancer-free tongue remnant. We report here two cases of base of tongue excision for which free flow-through radial forearm flap was used to reconstruct the tongue defect as well as salvage the remaining part of ischemic tongue. This technique can be effectively considered in selected cases of vascular compromise due to lingual vessel sacrifice to preserve the cancer-free anterior native tongue tissue with improved functional outcomes.
舌癌在口腔恶性肿瘤中较为常见。在舌根癌中，肿瘤切除可能导致同侧或双侧舌动脉损伤，从而引起残留的正常舌组织缺血。游离桡动脉前臂皮瓣常用于舌重建。它还可作为穿支皮瓣用于舌缺损的重建以及为无癌的舌残端进行血管再通。我们在此报告两例舌根切除术，术中使用游离穿支桡动脉前臂皮瓣重建舌缺损并挽救缺血舌的剩余部分。对于因牺牲舌血管导致血管受损的特定病例，可有效考虑采用该技术，以保留无癌的舌前部正常组织并改善功能预后。
