title: Functional hemitongue reconstruction using innervated supraclavicular fasciocutaneous island flaps with the cervical plexus and reinnervated supraclavicular fasciocutaneous island flaps with neurorrhaphy of the cervical plexus and lingual nerve.
abstract: BACKGROUND
  The purpose of this study was to evaluate tongue function in patients with tongue cancer after reconstruction with innervated supraclavicular fasciocutaneous island flaps (iSFIFs) with the cervical plexus (iSFIFs-SPN) or reinnervated SFIFs with neurorrhaphy of the cervical plexus and lingual nerve (rSFIFs-SPN-LN).
  
  
  METHODS
  Forty-two tongue defects were reconstructed using iSFIFs-SPN and rSFIFs-SPN-LN. Two-point discrimination tests revealed a significant difference on the dorsal and ventral hemitongue reconstructed using rSFIFs-SPN-LN from control values.
  
  
  RESULTS
  No statistical difference in swallowing, speech, or esthetic outcome was found in the iSFIFs-SPN or the rSFIFs-SPN-LN. A significant difference was noted in the dorsal aspect and ventral surface of hemitongues reconstructed with rSFIFs-SPN-LN from control values and between 6 and 12 months.
  
  
  CONCLUSIONS
  Sensation after hemitongue reconstruction with the iSFIF-SPN and the neurorrhaphy of the cervical plexus nerve was sutured to the lingual nerve, sensation after hemitongue reconstruction with the rSFIF-SPN-LN approached normal 6 to12 months postoperatively.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
authors.forename: Wei-liang
authors.initials: WL
authors.lastname: Chen
authors.forename: Da-ming
authors.initials: DM
authors.lastname: Zhang
authors.forename: Zhao-hui
authors.initials: ZH
authors.lastname: Yang
authors.forename: You-yuan
authors.initials: YY
authors.lastname: Wang
authors.forename: Song
authors.initials: S
authors.lastname: Fan
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D002572:Cervical Plexus / Q000601:surgery; D002968:Clavicle; D015331:Cohort Studies; D005260:Female; D005927:Glossectomy / Q000379:methods; D006801:Humans; D008036:Lingual Nerve / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation*; D014062:Tongue Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: hemitongue reconstruction; neurorrhaphy; supraclavicular flap; tongue cancer; tongue defects