Island Nasolabial Flap for Tongue Reconstruction: Locoregional Flap of Choice and an Alternative to Free Flap for Tongue
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ORIGINAL ARTICLE
Island Nasolabial Flap for Tongue Reconstruction: Locoregional Flap of Choice and an Alternative to Free Flap for Tongue Cancer Vikas Sharma 1,2 & Sandhya Pandey 3 & Ajeet Kumar Gandhi 4 & Arun Pandey 5 & Madhup Rastogi 4 & Rohini Sethi 4 & Rahat Hadi 4 & Nuzhat Hussain 6 Received: 4 May 2020 / Accepted: 8 September 2020 # Indian Association of Surgical Oncology 2020
Abstract Reconstruction following excision for tongue cancer carries important functional consequences. Island nasolabial flap (NLF) is robust and oncologically safe and has a good functional outcome, identical to free flap reconstruction. We retrospectively analyzed the data of 11 tongue cancer patients operated between January 2019 and August 2019. Surgical resection and neck dissection followed by immediate reconstruction by island NLF were done. Post-operative functional outcome assessed using the University of Washington Quality of Life Questionnaire. Age of patients ranged between 39 and 70 years. All patients had either T2 or T3 tongue cancer. No incidence of flap necrosis noted in any patient. On an average, all were discharged between 3rd and 5th post-operative days. Cosmetic and functional outcomes were satisfactory in all patients. Island nasolabial has an excellent reach and can reach any part of the oral cavity, even to the contralateral side and base of the tongue. It has an excellent postoperative tongue function, almost equivalent to free flap. Hence, it should be considered locoregional flap of choice for tongue reconstruction. Keywords Tongue cancer . Island nasolabial flap
Introduction Tongue cancer is one of the common and most aggressive cancers of the oral cavity in India. One of the challenges in its management is proper reconstruction following resection because of the various functional aspects of the tongue.
Smaller defects following resection of early T1 lesions can be repaired by primary closure without much concern. The best method for reconstruction of larger defect is by means of free flap reconstruction [1]. Radial forearm free flap has proven to be the best reconstructive option for repair of defects following resection of T2 and T3 lesions with good cosmetic
* Vikas Sharma [email protected]
Nuzhat Hussain [email protected]
Sandhya Pandey [email protected]
1
Department of Surgical Oncology, Dr RMLIMS, Lucknow 226010, India
Ajeet Kumar Gandhi [email protected]
2
Present address: Faculty Apartment, Dr RMLIMS, Flat number 806, Vibhuti Khand, Gomti Nagar, Lucknow 226010, India
3
Department of Surgery, ELMC&H, Lucknow 226003, India
4
Department of Radiation Oncology, Dr RMLIMS, Lucknow 226010, India
Rohini Sethi [email protected]
5
Department of Surgical Oncology, Geetanjali Medical College & Hospital, Udaipur 313002, India
Rahat Hadi [email protected]
6
Department of Pathology, Dr RMLIMS, Lucknow 226010, India
Arun Pandey [email protected] Madhup Rastogi [email protected]
Indian J Surg Oncol
and functional outcomes. Since it is a microvascula
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