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Estimation of Volume and Surface Area for Reconstruction of Tongue  

Park, Ha-Na-Ro (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine)
Kim, Hee-Jin (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine)
Jeong, Woo-Jin (Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Ahn, Soon-Hyun (Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Publication Information
Korean Journal of Head & Neck Oncology / v.27, no.1, 2011 , pp. 27-31 More about this Journal
Abstract
Purpose : Anterolateral thigh and radial forearm flap is the most important fasciocutaneous flap widely used for reconstruction of tongue. One important purpose of flap is replacing the volume of tongue but still there is no data about the surface area and volume to be reconstructed after glossectomy. In this paper, surface area and volume is estimated from the 3-dimensionally reconstructed MRI images to see which flap is more ideal and to give the reference value for reconstruction. Materials and Methods : With coronal MRI image, tongue including only the intrinsic muscle is delineated in every section and reconstructed 3-dimensionally and calculated the volume and surface area to be reconstructed according to the degree of glossectomy. This volume and surface area was compared with the volume of anterolateral thigh and radial forearm flap. Results : The volume and surface area to be reconstructed in hemiglossectomy was $39.0{\pm}4.0cm^3$ and $31.8{\pm}2.7cm^2$ respectively. The average thickness of anterolateral thigh flap is $9.4{\pm}2.8mm$ and that of radial forearm is $3.8{\pm}1.0mm$. Comparing the curve of tongue surface area and volume with the volume of flap, the anterolateral thigh flap has more ideal volume to replace the defect. Conclusions : The surface area and volume requested for reconstruction could be suggested and the anterolateral thigh flap has more ideal volume for reconstruction of glossectomy defect.
Keywords
Free flaps; Microsurgical; reconstruction; Image; Glossectomy;
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1 Chepeha DB, Teknos TN, Shargorodsky J, Sacco AG, Lyden T, Prince ME, et al. Rectangle tongue template for reconstruction of the hemiglossectomy defect. Arch Otolaryngol Head Neck Surg. 2008;134(9):993-998.   DOI   ScienceOn
2 Haughey BH, Taylor SM, Fuller D. Fasciocutaneous flap reconstruction of the tongue and floor of mouth: Outcomes and techniques. Arch Otolaryngol Head Neck Surg. 2002;128(12):1388-1395.   DOI
3 Nakayama B, Hyodo I, Hasegawa Y, Fujimoto Y, Matsuura H, Yatsuya H, et al. Role of the anterolateral thigh flap in head and neck reconstruction: Advantages of moderate skin and subcutaneous thickness. J Reconstr Microsurg. 2002;18(3):141-146.   DOI   ScienceOn
4 Huang C, Chen H, Huang Y, Mardini S, Feng G. Comparison of the Radial Forearm Flap and the Thinned Anterolateral Thigh Cutaneous Flap for Reconstruction of Tongue Defects: An Evaluation of Donor-Site Morbidity. Plast Reconstr Surg. 2004;114:1704-1710.   DOI   ScienceOn
5 Hsiao H, Leu Y, Liu C, Tung K, Lin C. Radial Forearm versus Anterolateral Thigh Flap Reconstruction after Hemiglossectomy: Functional Assessment of Swallowing and Speech. J Recontr Microsurg. 2008;24:85-88.   DOI
6 Kimura N, Satoh K, Hasumi T, Ostuka T. Clinical application of the free thin anterolateral thigh flap in 31 consecutive patients. Plast Reconstr Surg. 2001;108(5):1197-1208.   DOI   ScienceOn
7 Humbert IA, Reeder SB, Porcaro EJ, Kays SA, Brittain JH, Robbins J. Simultaneous estimation of tongue volume and fat fraction using IDEAL-FSE. J Magn Reson Imaging. 2008;28(2):504-508.   DOI   ScienceOn
8 de Vicente JC, de Villalain L, Torre A, Pena I. Microvascular Free Tissue Transfer for Tongue Reconstruction After Hemiglossectomy: A Functional Assessment of Radial Forearm Versus Anterolateral Thigh Flap. J Oral Maxillofac Surg. 2008;66:2270-2275.   DOI   ScienceOn
9 Song YG, Chen GZ, Song YL. The free thigh flap: A new free flap concept based on the septocutaneous artery. Br J Plast Surg. 1984;37:149-159.   DOI   ScienceOn
10 Lauder R, Muhl ZF. Estimation of tongue volume from magnetic resonance imaging. Angle Orthod. 1991;61(3):175-184.
11 Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer. The Department of Veterans Affairs Laryngeal Cancer Study Group. N Engl J Med. 1991;324:1685-1690.   DOI   ScienceOn
12 Yang G, Chen B, Gao Y. Forearm free skin flap transplantation. Natl Med J China. 1981;61:139-141.