Case Series
Reconstruction of the Tongue after Hemiglossectomy Using Serratus Anterior Muscle Free Flap
Table 1
Study participants, surgical treatment, and functional outcomes.
| Age/sex | Smoking | Type of tumour | Recurrence | Preoperative actinotherapy | TNM classification | Lymphatic nodes metastases | Neck dissection | Laryngeal preservation | Total surgery time/min | Flap failure | FEES-oropharyngealdysfunction |
| 48/F | Stop | Adenocarcinoma | No | No | pT4N0 | 0/7 LN (+ perineural invasion) | Bilateral | Yes | 570 | No, revision for small abscess in remaining tongue tissue | Medium severity | 60/F | Yes | Spinocellular carcinoma (G3) | Yes | Yes | pT3N0 | 0/2 LN (+ perineural invasion) | Unilateral -l. dx. | No, supraglottic laryngectomy performed | 360 | No, completely healed | High severity | 61/M | Stop | Spinocellular carcinoma (G3) | Yes | Yes | pT3N1 | 1/4 LN (+ perineural invasion) | Unilateral -l. sin. | Yes | 555 | No, marginal necrosis | Not performed | 64/M | Yes | Spinocellular carcinoma (G2) | Yes | Yes | pT3N3b | 9/9 LN (+ perineural invasion) | Unilateral -l. dx. | Yes | 495 | No, completely healed | High severity | 65/F | No | Spinocellular carcinoma (G3) | No | No | pT2N1 | 1/6LN (+ perineural invasion) | Bilateral | Yes | 495 | No, small wound dehiscence (up to 1 cm) | Mild severity | 67/F | Yes | Mucoepidermal carcinoma | No | No | pT3N0 | 0/3 LN (+ perineural invasion) | Unilateral -l. dx. | Yes | 420 | No, completely healed | Medium to high severity | 82/F | Non- | Spinocellular carcinoma (G1) | Yes | No | pT3N0 | 0/8 LN (0 perineural invasion) | Unilateral -l. dx. | Yes | 450 | No, completely healed | Mild to medium severity |
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