A novel anatomy-based five-points eight-line-segments technique for precision subtotal tongue reconstruction: A pilot study

Song Fan, Hanqing Zhang, Qunxing Li, Faya Liang, Zhiqiang Bai, Weixiong Chen, Sheng Sun, Peirong Yu, Jinsong Li

Research output: Contribution to journalArticle

Abstract

Objectives: A no-flap design based on actual tongue anatomy has been reported to achieve precise reconstruction, but large carcinologic tongue defects remain extremely challenging to treat. The aim of this pilot study was to explore an anatomy-based flap design for precision subtotal tongue reconstruction. Material and methods: Thirty-five patients were randomly divided into two groups, a “five-points eight-line-segments” (FIPELS) technique flap design group (18 patients) and a conventional surgery group (17 patients), to undergo subtotal tongue reconstruction. All patients received an anterolateral thigh flap with nerve coaptation to the lingual or glossopharyngeal nerve. Swallowing function, speech intelligibility, and cosmetic results were assessed with a Likert scale, and epicritic and proprioceptive sensitivity and thermosensation of the neotongue were investigated. Outcomes were analyzed, and a p-value < 0.05 was considered significant. Results: The FIPELS flaps were significantly larger than conventionally designed flaps. All flaps healed uneventfully, except in two patients who presented with partial necrosis. Relative to patients in the conventional group, patients in the FIPELS group showed significantly improved swallowing function (p = 0.043) and cosmetic results (p = 0.017) but not speech intelligibility (p = 0.154). Patients in the two groups recovered comparably in terms of epicritic and proprioceptive sensitivity and thermosensation. Conclusion: The anatomy-based FIPELS technique is an innovative and effective solution for subtotal tongue reconstruction.

LanguageEnglish (US)
Pages1-7
Number of pages7
JournalOral Oncology
Volume89
DOIs
StatePublished - Feb 1 2019

Fingerprint

Tongue
Anatomy
Speech Intelligibility
Deglutition
Cosmetics
Lingual Nerve
Glossopharyngeal Nerve
Thigh
Necrosis

Keywords

  • Anterolateral thigh flap
  • Five-points eight-line-segments
  • Nerve coaptation
  • Subtotal tongue reconstruction
  • Tongue cancer

ASJC Scopus subject areas

  • Oral Surgery
  • Oncology
  • Cancer Research

Cite this

A novel anatomy-based five-points eight-line-segments technique for precision subtotal tongue reconstruction : A pilot study. / Fan, Song; Zhang, Hanqing; Li, Qunxing; Liang, Faya; Bai, Zhiqiang; Chen, Weixiong; Sun, Sheng; Yu, Peirong; Li, Jinsong.

In: Oral Oncology, Vol. 89, 01.02.2019, p. 1-7.

Research output: Contribution to journalArticle

Fan, Song ; Zhang, Hanqing ; Li, Qunxing ; Liang, Faya ; Bai, Zhiqiang ; Chen, Weixiong ; Sun, Sheng ; Yu, Peirong ; Li, Jinsong. / A novel anatomy-based five-points eight-line-segments technique for precision subtotal tongue reconstruction : A pilot study. In: Oral Oncology. 2019 ; Vol. 89. pp. 1-7.
@article{13e157be31864a2bbbb6e4d258c7123a,
title = "A novel anatomy-based five-points eight-line-segments technique for precision subtotal tongue reconstruction: A pilot study",
abstract = "Objectives: A no-flap design based on actual tongue anatomy has been reported to achieve precise reconstruction, but large carcinologic tongue defects remain extremely challenging to treat. The aim of this pilot study was to explore an anatomy-based flap design for precision subtotal tongue reconstruction. Material and methods: Thirty-five patients were randomly divided into two groups, a “five-points eight-line-segments” (FIPELS) technique flap design group (18 patients) and a conventional surgery group (17 patients), to undergo subtotal tongue reconstruction. All patients received an anterolateral thigh flap with nerve coaptation to the lingual or glossopharyngeal nerve. Swallowing function, speech intelligibility, and cosmetic results were assessed with a Likert scale, and epicritic and proprioceptive sensitivity and thermosensation of the neotongue were investigated. Outcomes were analyzed, and a p-value < 0.05 was considered significant. Results: The FIPELS flaps were significantly larger than conventionally designed flaps. All flaps healed uneventfully, except in two patients who presented with partial necrosis. Relative to patients in the conventional group, patients in the FIPELS group showed significantly improved swallowing function (p = 0.043) and cosmetic results (p = 0.017) but not speech intelligibility (p = 0.154). Patients in the two groups recovered comparably in terms of epicritic and proprioceptive sensitivity and thermosensation. Conclusion: The anatomy-based FIPELS technique is an innovative and effective solution for subtotal tongue reconstruction.",
keywords = "Anterolateral thigh flap, Five-points eight-line-segments, Nerve coaptation, Subtotal tongue reconstruction, Tongue cancer",
author = "Song Fan and Hanqing Zhang and Qunxing Li and Faya Liang and Zhiqiang Bai and Weixiong Chen and Sheng Sun and Peirong Yu and Jinsong Li",
year = "2019",
month = "2",
day = "1",
doi = "10.1016/j.oraloncology.2018.12.004",
language = "English (US)",
volume = "89",
pages = "1--7",
journal = "Oral Oncology",
issn = "1368-8375",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - A novel anatomy-based five-points eight-line-segments technique for precision subtotal tongue reconstruction

T2 - Oral Oncology

AU - Fan, Song

AU - Zhang, Hanqing

AU - Li, Qunxing

AU - Liang, Faya

AU - Bai, Zhiqiang

AU - Chen, Weixiong

AU - Sun, Sheng

AU - Yu, Peirong

AU - Li, Jinsong

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Objectives: A no-flap design based on actual tongue anatomy has been reported to achieve precise reconstruction, but large carcinologic tongue defects remain extremely challenging to treat. The aim of this pilot study was to explore an anatomy-based flap design for precision subtotal tongue reconstruction. Material and methods: Thirty-five patients were randomly divided into two groups, a “five-points eight-line-segments” (FIPELS) technique flap design group (18 patients) and a conventional surgery group (17 patients), to undergo subtotal tongue reconstruction. All patients received an anterolateral thigh flap with nerve coaptation to the lingual or glossopharyngeal nerve. Swallowing function, speech intelligibility, and cosmetic results were assessed with a Likert scale, and epicritic and proprioceptive sensitivity and thermosensation of the neotongue were investigated. Outcomes were analyzed, and a p-value < 0.05 was considered significant. Results: The FIPELS flaps were significantly larger than conventionally designed flaps. All flaps healed uneventfully, except in two patients who presented with partial necrosis. Relative to patients in the conventional group, patients in the FIPELS group showed significantly improved swallowing function (p = 0.043) and cosmetic results (p = 0.017) but not speech intelligibility (p = 0.154). Patients in the two groups recovered comparably in terms of epicritic and proprioceptive sensitivity and thermosensation. Conclusion: The anatomy-based FIPELS technique is an innovative and effective solution for subtotal tongue reconstruction.

AB - Objectives: A no-flap design based on actual tongue anatomy has been reported to achieve precise reconstruction, but large carcinologic tongue defects remain extremely challenging to treat. The aim of this pilot study was to explore an anatomy-based flap design for precision subtotal tongue reconstruction. Material and methods: Thirty-five patients were randomly divided into two groups, a “five-points eight-line-segments” (FIPELS) technique flap design group (18 patients) and a conventional surgery group (17 patients), to undergo subtotal tongue reconstruction. All patients received an anterolateral thigh flap with nerve coaptation to the lingual or glossopharyngeal nerve. Swallowing function, speech intelligibility, and cosmetic results were assessed with a Likert scale, and epicritic and proprioceptive sensitivity and thermosensation of the neotongue were investigated. Outcomes were analyzed, and a p-value < 0.05 was considered significant. Results: The FIPELS flaps were significantly larger than conventionally designed flaps. All flaps healed uneventfully, except in two patients who presented with partial necrosis. Relative to patients in the conventional group, patients in the FIPELS group showed significantly improved swallowing function (p = 0.043) and cosmetic results (p = 0.017) but not speech intelligibility (p = 0.154). Patients in the two groups recovered comparably in terms of epicritic and proprioceptive sensitivity and thermosensation. Conclusion: The anatomy-based FIPELS technique is an innovative and effective solution for subtotal tongue reconstruction.

KW - Anterolateral thigh flap

KW - Five-points eight-line-segments

KW - Nerve coaptation

KW - Subtotal tongue reconstruction

KW - Tongue cancer

UR - http://www.scopus.com/inward/record.url?scp=85058222264&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058222264&partnerID=8YFLogxK

U2 - 10.1016/j.oraloncology.2018.12.004

DO - 10.1016/j.oraloncology.2018.12.004

M3 - Article

VL - 89

SP - 1

EP - 7

JO - Oral Oncology

JF - Oral Oncology

SN - 1368-8375

ER -