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Novikova I.V.

P.A. 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;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Mordovsky A.V.

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

Ratushniy M.V.

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

Petriaeva M.A.

Tula State University

Reconstruction of the tongue and floor of the mouth using mucomuscular cheek flaps after oral cancer resection

Authors:

Novikova I.V., Polyakov A.P., Mordovsky A.V., Ratushniy M.V., Petriaeva M.A.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2025;14(3): 49‑55

DOI: 10.17116/onkolog20251403149

Read: 839 times

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Table of contents

RECONSTRUCTION OF THE TONGUE AND FLOOR OF THE MOUTH USING MUCOMUSCULAR CHEEK FLAPS AFTER ORAL CANCER RESECTION
RECONSTRUCTION OF THE TONGUE AND FLOOR OF THE MOUTH USING MUCOMUSCULAR CHEEK FLAPS AFTER ORAL CANCER RESECTION

To cite this article:

Novikova IV, Polyakov AP, Mordovsky AV, Ratushniy MV, Petriaeva MA. Reconstruction of the tongue and floor of the mouth using mucomuscular cheek flaps after oral cancer resection. P.A. Herzen Journal of Oncology. 2025;14(3):49‑55. (In Russ.)
https://doi.org/10.17116/onkolog20251403149

Подписка 2026 Онкология. Журнал им. П.А. Герцена (P.A. Herzen Journal of Oncology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Surgery is the main method of treatment of patients with non-generalised resectable malignant neoplasm of the oral cavity. After the removal of the tumor, defects are formed, for the removal of which various types of plastic materials are used.

OBJECTIVE

Evaluation of the results of reconstruction of the tongue and floor of the mouth with a cheek mucomuscular flap after tumor removal.

MATERIAL AND METHODS

Seventeen patients (aged 59±9 years) underwent surgical treatment with defect reconstruction using mucomuscular cheek flaps based on the facial artery at the P.A. Herzen Moscow Oncology Research Institute. In four cases, the flaps were rotated in the oral cavity, while in 13 cases tunnel flaps were formed, including three patients who received contralateral flaps.

RESULTS

R0 surgical resection was achieved in 16 cases, while R1 resection was performed in one case. Nine patients underwent adjuvant radiotherapy with a dose of 61.6±3.8 Gy. The one-year disease-free survival was 92.6%. Flap necrosis occurred in one case on the second day after surgery. One patient (6.9%) had flap venous insufficiency with marginal necrosis. Limited mouth opening was observed in 5 cases (29.4%) due to cicatricial deformation at the donor site.

CONCLUSION

The mucomuscular cheek flap demonstrates excellent anatomical and functional outcomes in the reconstruction of the tongue and floor of the mouth following minor resections, utilizing morphologically identical tissues, with minimal donor site damage and a low complications rate.

Keywords:

oral cavity cancer
defects of tongue and floor of the mouth
mucomuscular cheek flap based on the facial vessels

Authors:

Novikova I.V.

P.A. 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;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Mordovsky A.V.

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

Ratushniy M.V.

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

Petriaeva M.A.

Tula State University

Received:

25.11.2024

Accepted:

15.01.2025

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