title: Peroneal Flap for Tongue Reconstruction.
abstract: BackgroundFor large tongue defects, reconstructive surgeons have devised a variety of feasible options, such as radial forearm free flap and anterolateral thigh (ALT) flap. In our institution, peroneal flap has been the workhorse flap for the soft tissue defect in head and neck reconstruction. We present our experience using peroneal flap in tongue reconstruction.Patients and MethodsThe study included 47 patients who had undergone tongue reconstructions with peroneal flaps after tumor resection. The size and location of the defect after tumor resection determined whether the peroneal flaps could be harvested as pure septocutaneous flaps to solely reconstruct the neotongue or to carry an additional muscle bulk to fill the adjacent defect. Retrospective chart review was used to look for postoperative complications and to perform functional assessments (which were also performed through telephone inquiry).ResultsOf the 47 patients, 3 (6%) had flap failure and 1 (2.1%) had partial flap necrosis. The hemiglossectomy group had better results than the total glossectomy group with respect to speech and diet, but neither of these results reached statistical significance (p= 1.0 for speech andp= 0.06 for diet). The results of the subtotal glossectomy group were better than those of the total glossectomy group with respect to diet (p= 0.03). No statistically significant differences were noted among the three groups with respect to cosmetic aspect (p= 0.64).ConclusionsConsidering its reasonable postoperative complication rates and functional results, peroneal flap can be considered a feasible option for tongue reconstruction.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Taiwan.
authors.forename: Ying-Sheng
authors.initials: YS
authors.lastname: Lin
authors.affiliation: Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Taiwan.|Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.|Department of Surgery, School of Medicine, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Wen-Chung
authors.initials: WC
authors.lastname: Liu
authors.affiliation: Department of Surgery, School of Medicine, National Defense Medical Center, Taipei, Taiwan.|Department of Otolaryngology Head and Neck, Kaohsiung Veterans General Hospital, Taiwan.
authors.forename: Yaoh-Shiang
authors.initials: YS
authors.lastname: Lin
authors.affiliation: Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Taiwan.|Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Lee-Wei
authors.initials: LW
authors.lastname: Chen
authors.affiliation: Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Taiwan.|Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.|Department of Surgery, School of Medicine, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Kuo-Chung
authors.initials: KC
authors.lastname: Yang
mesh_terms: D000328:Adult; D004435:Eating / Q000502:physiology; D004954:Esthetics / Q000523:psychology; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply* / Q000637:transplantation; D005927:Glossectomy; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000379:methods*; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function / Q000502:physiology*; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods*; D013060:Speech / Q000502:physiology; D014062:Tongue Neoplasms / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome