METHODOLOGICAL ASPECTS OF AUTOTRANSPLANTATION OF A REINNERVATED CHIMERIC MUSCULOSEUS FLAP FROM THE TORACODORSAL ARTERY POOL DURING TONGUE RECONSTRUCTION: CLINICAL CASE | Issues of reconstructive and plastic surgery. 2020. № 3 (74). DOI: 10.17223/1814147/74/09

METHODOLOGICAL ASPECTS OF AUTOTRANSPLANTATION OF A REINNERVATED CHIMERIC MUSCULOSEUS FLAP FROM THE TORACODORSAL ARTERY POOL DURING TONGUE RECONSTRUCTION: CLINICAL CASE

Objective. Currently, the functional reconstruction of the tongue in patients after subtotal or total glosssectomy with removal of the muscles of the floor of the oral cavity and preservation of the larynx remains a difficult unsolved problem. The authors are proposed a new method of tongue reconstruction in patients after total glosssectomy with removal of the floor muscles of the mouth using a chimeric reinnervated musculocutaneous thoraco-dorsal flap with the inclusion of the latissimus and serratus muscles and double motor reinnervation (chimeric LD + SA flap). Material and methods. A 37-year-old woman with locally advanced tongue cancer underwent a total glossectomy, followed by reconstruction with an LD + SA chimeric flap to create an optimal volume of neo-language, and the larynx suspension was restored, which was necessary taking into account ablative loss of the suprahyoid muscles. Results. Our preliminary results show that the proposed flap is a good reconstructive option for a complete glossectomy with removal of the floor muscles and preservation of the larynx.

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Keywords

tongue cancer, glossectomy, chimeric flap, tongue reconstruction

Authors

Name	Organization	E-mail
Mordovskiy A.V.	P.A. Hertsen Moscow Oncology Research Institute - the Branch of National Medical Research Radiological Centre	alexmord@live.com
Polyakov A.P.	P.A. Hertsen Moscow Oncology Research Institute - the Branch of National Medical Research Radiological Centre
Ratushnyy M.V.	P.A. Hertsen Moscow Oncology Research Institute - the Branch of National Medical Research Radiological Centre
Rebrikova I.V.	P.A. Hertsen Moscow Oncology Research Institute - the Branch of National Medical Research Radiological Centre

Всего: 4

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