A novel anatomy-based five-points eight-line-segments technique for precision subtotal tongue reconstruction: A pilot study

•FIPELS flap was arisen from virtual dissection of the subtotal tongue.•FIPELS technique could provide a natural-shape subtotal tongue contour.•Functional and cosmetic outcomes are significantly improved by FIPELS technique. A no-flap design based on actual tongue anatomy has been reported to achiev...

Full description

Saved in:
Bibliographic Details
Published in:Oral oncology 2019-02, Vol.89, p.1-7
Main Authors: Fan, Song, Zhang, Hanqing, Li, Qunxing, Liang, Faya, Bai, Zhiqiang, Chen, Weixiong, Sun, Sheng, Yu, Peirong, Li, Jinsong
Format: Article
Language:English
Subjects:
Adult
Aged
Anterolateral thigh flap
Female
Five-points eight-line-segments
Humans
Male
Middle Aged
Nerve coaptation
Pilot Projects
Reconstructive Surgical Procedures - methods
Subtotal tongue reconstruction
Tongue - pathology
Tongue - surgery
Tongue cancer
Tongue Neoplasms - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•FIPELS flap was arisen from virtual dissection of the subtotal tongue.•FIPELS technique could provide a natural-shape subtotal tongue contour.•Functional and cosmetic outcomes are significantly improved by FIPELS technique. A no-flap design based on actual tongue anatomy has been reported to achieve precise reconstruction, but large carcinologic tongue defects remain extremely challenging to treat. The aim of this pilot study was to explore an anatomy-based flap design for precision subtotal tongue reconstruction. Thirty-five patients were randomly divided into two groups, a “five-points eight-line-segments” (FIPELS) technique flap design group (18 patients) and a conventional surgery group (17 patients), to undergo subtotal tongue reconstruction. All patients received an anterolateral thigh flap with nerve coaptation to the lingual or glossopharyngeal nerve. Swallowing function, speech intelligibility, and cosmetic results were assessed with a Likert scale, and epicritic and proprioceptive sensitivity and thermosensation of the neotongue were investigated. Outcomes were analyzed, and a p-value 
ISSN:1368-8375
1879-0593
DOI:10.1016/j.oraloncology.2018.12.004