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<p>Carcinoma tongue is one of the most common cancers in India. Early detection, staging and surgical planning is required in every case. Free flaps are the most preferred mode of reconstruction as tongue is a mobile structure. However all candidates are not suitable for free flaps. Infrahyoid flap is a suitable alternative. 21 patients were selected for reconstruction with infrahyoid flap during the period of January 2023 to March 2024 as per the inclusion and exclusion criteria. Ansarin Type II, IIIa, IIIb glossectomies were reconstructed with this infrahyoid flap. Flap status and remodeling were assessed at regular intervals. Early and delayed complications were assessed. Functional assessment, including speech and swallowing ability was conducted using FEES and VFSS studies. There was mild flap congestion in the initial postoperative period which resolved over time. Complete flap necrosis was not observed in any case; however, tip necrosis occurred in 2 out of 21 patients. Orocutaneous fistula were noted in 2 patients which resolved over time. Lymph node harvest was adequate in all cases. FEES and VFSS studies showed adequate swallowing ability. Socially acceptable speech was noted in all patients. Infrahyoid flap is a good alternative in selected cases where patient is not a suitable candidate for free flaps. Moreover it avoids facial scar of islanded nasolabial flap and better accepted by patients.</p>

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Infrahyoid Flap Reconstruction: A Viable Option for Tongue Cancer Patients: A Case Series of 21 Patients

  • 期刊论文

  • 发表日期：

    2025年7月30日

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  • Arnab Adak,
  • Amit Shaw,
  • Sukanya Naskar,
  • Anannya Tripathy,
  • Rajdeep Guha

摘要

Carcinoma tongue is one of the most common cancers in India. Early detection, staging and surgical planning is required in every case. Free flaps are the most preferred mode of reconstruction as tongue is a mobile structure. However all candidates are not suitable for free flaps. Infrahyoid flap is a suitable alternative. 21 patients were selected for reconstruction with infrahyoid flap during the period of January 2023 to March 2024 as per the inclusion and exclusion criteria. Ansarin Type II, IIIa, IIIb glossectomies were reconstructed with this infrahyoid flap. Flap status and remodeling were assessed at regular intervals. Early and delayed complications were assessed. Functional assessment, including speech and swallowing ability was conducted using FEES and VFSS studies. There was mild flap congestion in the initial postoperative period which resolved over time. Complete flap necrosis was not observed in any case; however, tip necrosis occurred in 2 out of 21 patients. Orocutaneous fistula were noted in 2 patients which resolved over time. Lymph node harvest was adequate in all cases. FEES and VFSS studies showed adequate swallowing ability. Socially acceptable speech was noted in all patients. Infrahyoid flap is a good alternative in selected cases where patient is not a suitable candidate for free flaps. Moreover it avoids facial scar of islanded nasolabial flap and better accepted by patients.