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A technique of tongue reconstruction following near-total glossectomy

Published online by Cambridge University Press:  29 June 2007

Malcolm S. Robertson ,
Jeffrey M. Robinson  and
Ruth M. Horsfall
Malcolm S. Robertson*
Affiliation:
Surgeon
Jeffrey M. Robinson
Affiliation:
Registrar
Ruth M. Horsfall
Affiliation:
Chief Speech Therapist
*
‘Harley’, 137 Cambridge Terrace, Christchurch, 1, New Zealand.
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Abstract

Total glossectomy is the most crippling of all oral cavity resections. Speech problems are unavoidable and post-operative aspiration is often severe. Two patients are presented who have had tongue reconstructions following near-total glossectomies. In each case a quilted, split-skin grafted pectoralis major muscle flap was used. The speech and swallowing results of these two patients are compared with two patients who underwent a hemiglossectomy and total glossectomy respectively without tongue reconstruction. Only if the suprahyoid and extrinsic tongue muscles are preserved can an active oral phase of swallowing and usable speech be regained by tongue reconstruction.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 101 , Issue 3 , March 1987 , pp. 260 - 265
Copyright
Copyright © JLO (1984) Limited 1987

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