title: Tongue reconstruction with minimal donor site morbidity using a deep inferior epigastric perforator (DIEP) free flap in a 6-year-old girl.
abstract: Tongue reconstruction was performed using a deep inferior epigastric perforator (DIEP) free flap in a 6-year-old girl with undifferentiated sarcoma of the tongue. After hemi-glossectomy with upper neck dissection, a 3-lobed DIEP free flap was used for the reconstruction. Donor site was closed primarily with suturing umbilicus in proper position. No flap loss, leakage, or infection occurred. Postoperatively, the patient was able to consume a normal diet without difficulty or aspiration and displayed good speech function. No donor site morbidity, e.g., herniation or bulging, was observed, and the patient was able to perform their normal daily activities. DIEP flaps provide a pliable skin paddle, an adequate amount of adipose tissue, and reduced donor site morbidity, even in children. We did not have any difficulty harvesting the DIEP flap or with the microvascular anastomosis. We consider DIEP free flaps to be the ideal option for pediatric tongue reconstruction.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Tokyo Medical and Dental University, Tokyo, Japan. yanoaprs@icloud.com
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Yano
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Okazaki
authors.forename: Runa
authors.initials: R
authors.lastname: Kawaguchi
authors.forename: Nobuko
authors.initials: N
authors.lastname: Suesada
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tanaka
authors.forename: Seiji
authors.initials: S
authors.lastname: Kishimoto
mesh_terms: D017024:Chemotherapy, Adjuvant; D002648:Child; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply*; D005927:Glossectomy; D006801:Humans; D061525:Perforator Flap / Q000098:blood supply*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques; D014059:Tongue / Q000601:surgery*; D014062:Tongue Neoplasms / Q000188:drug therapy / Q000601:surgery*; D060053:Transplant Donor Site / Q000473:pathology