title: [Tongue reconstruction with a bilateral infrahyoid flap innervated by Ansa Cervicalis after total glossectomy].
abstract: BACKGROUND
  Reconstruction after total glossectomy remains a functional challenge. It must provide a large volume to ensure adequate phonation and swallowing. We present the larynx sparing bilateral infrahyoid flap reconstruction procedure after total glossectomy.
  
  
  METHODS
  Three patients managed for an epidermoid carcinoma of the tongue, classified T4N0, underwent total glossectomy. The tongue was reconstructed with a bilateral infrahyoid flap pedicled on two superior thyroid arteries and innervated by Ansa Cervicalis.
  
  
  RESULTS
  Oral food intake was resumed after 8 to 20 days. No false route was observed. The muscular flap mobility was clinically satisfactory. It was assessed by EMG in one case. Esophageal transit confirmed the absence of stasis and false route for one patient.
  
  
  CONCLUSIONS
  This short series proves the feasibility of bilateral innervated and pedicled infrahyoid flap procedure. It is an alternative to volumetric and functional reconstruction after total glossectomy. The indications are rare and restricted to patients without IIa nodal region invasion. Our results are still limited and need to be confirmed by a larger series and by a more systematic assessment.
authors.affiliation: Service de Chirurgie Maxillofaciale, Centre FX-Michelet, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France. mathieu.laurentjoye@yahoo.fr
authors.forename: M
authors.initials: M
authors.lastname: Laurentjoye
authors.forename: A-S
authors.initials: AS
authors.lastname: Ricard
authors.forename: P
authors.initials: P
authors.lastname: Caix
authors.forename: F
authors.initials: F
authors.lastname: Siberchicot
authors.forename: C
authors.initials: C
authors.lastname: Majoufre-Lefebvre
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy / Q000534:rehabilitation / Q000601:surgery; D002572:Cervical Plexus / Q000502:physiology* / Q000601:surgery; D003131:Combined Modality Therapy; D003679:Deglutition / Q000502:physiology; D005240:Feasibility Studies; D005927:Glossectomy / Q000379:methods* / Q000534:rehabilitation; D006801:Humans; D006928:Hyoid Bone / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000534:rehabilitation; D013524:Surgical Flaps / Q000294:innervation*; D014059:Tongue / Q000294:innervation / Q000473:pathology / Q000502:physiology / Q000601:surgery*; D014062:Tongue Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000534:rehabilitation / Q000601:surgery