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Mordovsky A.V.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Polyakov A.P.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia;
I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Health of Russia

Ratushnyi M.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Kaprin A.D.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of Ministry of Russia;
Peoples’ Friendship University of Russia

Reshetov I.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Health of Russia

Novikova I.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Matorin O.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Miroshnichenko D.A.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Microsurgical autotransplantation after hemiglossectomy in oncological patients: a series of clinical examples and a review of literature

Authors:

Mordovsky A.V., Polyakov A.P., Ratushnyi M.V., Kaprin A.D., Reshetov I.V., Novikova I.V., Matorin O.V., Miroshnichenko D.A.

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Journal: P.A. Herzen Journal of Oncology. 2023;12(4): 42‑49

DOI: 10.17116/onkolog20231204142

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To cite this article:

Mordovsky AV, Polyakov AP, Ratushnyi MV, et al. . Microsurgical autotransplantation after hemiglossectomy in oncological patients: a series of clinical examples and a review of literature. P.A. Herzen Journal of Oncology. 2023;12(4):42‑49. (In Russ.)
https://doi.org/10.17116/onkolog20231204142

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Free fasciocutaneous flaps, such as a radial flap and an anterolateral thigh flap, are one of the most popular autografts for eliminating oral defects. Nevertheless, there are disagreements on their efficacy in reconstructing the tongue (trauma of the donor zone, elasticity, etc.). The paper gives a series of clinical cases and a review of literature on this problem. It provides the functional results of tongue reconstruction using a radial fasciocutaneous autograft, a fasciocutaneous anterolateral thigh flap, or a colo-omental autograft in patients after hemiglossectomy with a follow-up period of 4 to 18 years.

Keywords:

tongue cancer
hemiglossectomy
microsurgical tongue reconstruction

Authors:

Mordovsky A.V.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Polyakov A.P.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia;
I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Health of Russia

Ratushnyi M.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Kaprin A.D.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of Ministry of Russia;
Peoples’ Friendship University of Russia

Reshetov I.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Health of Russia

Novikova I.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Matorin O.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Miroshnichenko D.A.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Received:

22.07.2022

Accepted:

07.11.2022

List of references:

  1. Mordovskii AV, Polyakov AP. Tongue reconstruction in cancer patients: current state of the problem (literature review). Head and Neck Tumors. 2021;11(3):94-103. (In Russ.). https://doi.org/10.17650/2222-1468-2021-11-3-94-103
  2. Neligan PC. Head and neck reconstruction. Plast Reconstr Surg. 2013;131(2):260e‐269e. https://doi.org/10.1097/prs.0b013e3182778938
  3. Membreno PV, Eid AA, Vanison CC, Gillespie MB, Gleysteen JP. Porcine small intestine graft for reconstruction of oral defects. Laryngoscope Investig Otolaryngol. 2021;6(5):940-947.  https://doi.org/10.1002/lio2.626
  4. Haughey BH. The jejunal free flap in oral cavity and pharyngeal reconstruction. Otolaryngol Clin North Am. 1994;27(6):1159-1170.
  5. Meyer HJ. Plastic reconstruction of oral cavity and pharynx with microsurgically revascularized intestinal grafts. Otolaryngol Pol. 1990;44(3):185-187. 
  6. Reshetov IV, Chissov VI, Kravtsov SA, Ratushnyi MV. Sposob rekonstruktsii yazyka pri obshirnykh defektakh polosti rta. Patent RF na izobretenie RU 2 391 0925 S1. Zayavka: 2009108780/14, 2009.03.10. Opublikovano: 2010.06.20. (In Russ.). https://www.findpatent.ru/patent/254/2546097.html
  7. Elfring T, Boliek CA, Winget M, Paulsen C, Seikaly H, Rieger JM. The relationship between lingual and hypoglossal nerve function and quality of life in head and neck cancer. J Oral Rehabil. 2014;41(2):133-140.  https://doi.org/10.1111/joor.12116
  8. Martin D, Pascal JF, Baudet J, Mondie JM, Farhat JB, Athoum A, Le Gaillard P, Peri G. The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap. Plast Reconstr Surg. 1993;92(5):867-873. 
  9. Wang HS, Shen JW, Ma DB, Wang JD, Tian AL. The infrahyoid myocutaneous flap for reconstruction after resection of head and neck cancer. Cancer. 1986;57(3):663-668.  https://doi.org/10.1002/1097-0142(19860201)57:3<663::aid-cncr2820570344>3.0.co;2-g
  10. Ariyan S. The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg. 1979;63(1):73-81.  https://doi.org/10.1097/00006534-197901000-00012
  11. Oh J, Lee TH, Lee JH, Tae K, Park SO, Ahn HC. Exclusive tongue tip reconstruction of hemiglossectomy defects using the underrated lateral arm free flap with bilobed design. Arch Craniofac Surg. 2019;20(1):37-43.  https://doi.org/10.7181/acfs.2018.02005
  12. Engel H, Huang JJ, Lin CY, Lam W, Kao HK, Gazyakan E, Cheng MH. A strategic approach for tongue reconstruction to achieve predictable and improved functional and aesthetic outcomes. Plast Reconstr Surg. 2010;126(6):1967-1977. https://doi.org/10.1097/prs.0b013e3181f44742
  13. Soutar DS, McGregor IA. The radial forearm flap in intraoral reconstruction: the experience of 60 consecutive cases. Plast Reconstr Surg. 1986;78(1):1-8.  https://doi.org/10.1097/00006534-198607000-00001
  14. Yu P. Reinnervated anterolateral thigh flap for tongue reconstruction. Head Neck. 2004;26(12):1038-1044. https://doi.org/10.1002/hed.20106
  15. Tong XJ, Tang ZG, Shan ZF, Guo XC. The anterolateral thigh flap for soft tissue reconstruction in patients with tongue squamous cell carcinoma. World J Surg Oncol. 2016;14(1):213.  https://doi.org/10.1186/s12957-016-0972-8
  16. Zhang PP, Meng L, Shen J, Liu H, Zhang J, Xiang X, Yan YB. Free radial forearm flap and anterolateral thigh flap for reconstruction of hemiglossectomy defects: a comparison of quality of life. J Craniomaxillofac Surg. 2018;46(12):2157-2163. https://doi.org/10.1016/j.jcms.2018.10.006
  17. Kornfehl J. Autotransplanted jejunum in head and neck cancer. Eur J Cancer B Oral Oncol. 1994;30B(1):16-22.  https://doi.org/10.1016/0964-1955(94)90045-0

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