Immediate tongue reconstraction with modified cervical island skin flap: Report of a case.

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A woman, aged 56, had squamous cell carcinoma of the tongue and metastasis on the right side of her neck. After combination chemotherapy with vincristine, methotraxate, pepleomycin and mitomicin-C and radiation, the tongue tumor disappeared macroscopically but metastasis remained. So, immediate tongue reconstruction, with a modified cervical island skin flap, was performed after hemiglossectomy and radical neck disection. Partial necrosis (20% volumme) on the tip of the flap occured but the other survived well. This necrosis was caused by rotated neck of the flap under the mandible and a little longer flap.<BR>The paciant has been asymptomatic for 30 months without serious disorder of tongue movement and other complications.
社団法人日本口腔外科学会の論文