Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Total Tongue Reconstruction with Reinnervated Rectus Abdominis Musculocutaneous Flap

재신경화된 복직근 근피판을 이용한 혀 전체 재건술

  • Kim, Cheol Hann (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University) ;
  • Tark, Min Sung (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
  • 김철한 (순천향대학교 의과대학 성형외과학교실) ;
  • 탁민성 (순천향대학교 의과대학 성형외과학교실)
  • Received : 2005.06.20
  • Published : 2006.03.10
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Abstract

After total glossectomy, recovery of swallowing and speech function can greatly improve quality of life. The reconstructed tongue must be thick enough to contact with the hard palate for articulation. If the free flap is denervation, it may procede to have atrophy postoperatively. Therefor it is difficult to maintain the tongue volume for a long period of time. To resolve this problem, we have used a innervated rectus abdominis musculocutaneous flap and maintaining the volume through a neurorrhaphy. 7 patients underwent immediate reconstruction using a reinnervated rectus abdominis musculocutaneous free flap in which included intercostal nerve was anastomosed to the remaining hypoglossal nerve. The reinnervated rectus abdominis musculocutaneous free flap has provided good tongue contour with sufficient bulk and shown no obvious atrophy in all patients even though postoperative 9 months later. Considering swallowing and articulation, we concluded that reinnervated rectus abdominis musculocutaneous flap is a viable method after total glossectomy

Keywords

References

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