Prosthetic Management of Flap-Related Complications Following Glossectomy in Locally Advanced Tongue Cancer

Abstract: Total glossectomy defects resulting from postoncologic resection are commonly reconstructed with locoregional or free flaps. However, effectively managing complications that may arise after reconstruction can be a significant challenge. We present a unique case series describing prosthetic management of flap-related complications following glossectomy in patients treated for locally advanced tongue cancer. Three patients underwent total glossectomy, neck dissection, reconstruction using free flap, and tracheostomy. Two patients developed an intraoral fistula located in the anterior region of the floor of the mouth. The third patient developed a flap failure requiring a second procedure using a pectoralis major myocutaneous flap for correction of the orocutaneous fistula that ultimately did not heal. Mandibular obturator prostheses lined with a soft liner were fabricated for all the patients, which helped reduce salivary incontinence and improve swallowing and speech. This case series highlights that a collaborative interdisciplinary team approach is crucial for optimizing postoperative function and outcomes when managing complications from reconstructive procedures.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Prosthetic Management of Flap-Related Complications Following Glossectomy in Locally Advanced Tongue Cancer ; volume:56 ; number:04 ; year:2023 ; pages:382-385
Indian journal of plastic surgery ; 56, Heft 04 (2023), 382-385

Contributor
Jagtiani, Kiran
Bhatia, Prachi
Jain, Radhika
Singh, Gurkaran Preet
Gurav, Sandeep

DOI
10.1055/s-0043-1772455
URN
urn:nbn:de:101:1-2023102612315139436195
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:58 AM CEST

Data provider

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Associated

  • Jagtiani, Kiran
  • Bhatia, Prachi
  • Jain, Radhika
  • Singh, Gurkaran Preet
  • Gurav, Sandeep

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