1/96. The lateral tongue flap: a salvage option for reconstruction of buccal recurrences.BACKGROUND: Surgery in an irradiated, previously operated field is fraught with danger. Though microvascular tissue transfers are being gone, they may not be feasible in all circumstances. methods: A lateral tongue flap was executed in 11 cases of intraoral buccal recurrence. The aims of this study were to evaluate the procedure, the function of the remaining tongue and the speed of rehabilitation with respect to preoperative functional status. RESULTS: Out of 11 such reconstructions in a period of 12 months, only 1 flap had tip necrosis while a haematoma developed in 2 cases. Swallowing, speech, and tongue protrusion were not significantly hampered by the procedure. patients were rehabilitated very quickly (within 2 weeks), to preoperative functional status. CONCLUSIONS: The Lateral tongue Flap is a simple, robust vascular transfer and an effective salvage reconstructive option in a post-excisional defect caused by a recurrent intraoral cancer.- - - - - - - - - - ranking = 1keywords = tongue (Clic here for more details about this article) |
2/96. Clinical Experience in the cryosurgery of Haemangioma.The author using cryoapplicator of his own modification presents cryosurgery as a successful surgical technique in cases of haemangiomas involving the face, lips, tongue and oral cavity. From 1968 to 1974 in the Stomatological Clinic of Lublin 56 patients were operated upon using this method. The results were very encouraging. Total regression of haemangiomas and regeneration of normal mucosa with no noticeable scar resulted. A method of cryosurgery especially suitable for very young patients or for those who are poor risks because of associated disease and advanced age is suggested.- - - - - - - - - - ranking = 0.14285714285714keywords = tongue (Clic here for more details about this article) |
3/96. High dose rate microselectron mould ratiotherapy of a widespread superficial oral cancer.Treatment of a case of widespread superficial oral squamous cell carcinoma with external beam irradiation, followed by high dose rate Microselectron mould radiotherapy, is reported. The tumor disappeared macroscopically after treatment, but there was infield recurrence in the buccogingival sulcus where the radiation dose might have been inadequate. Apart from some radiation mucositis within the treated area, edema and a superficial ulcer were observed in the tongue. These were considered to be due to radiation overdose. Although there is room for improvement, this mode of treatment has something to offer patients with hard-to-cure cancer.- - - - - - - - - - ranking = 0.14285714285714keywords = tongue (Clic here for more details about this article) |
4/96. diagnosis and treatment of cancer of the mouth.Oral cancer, which includes the lips, buccal mucosa, hard palate and the anterior two-thirds of the tongue, is particularly difficult for patients to cope with, as the cancer and its treatment are highly visible. This article covers the aetiology, classification and treatment of these cancers and presents a case study which highlights the care needed.- - - - - - - - - - ranking = 0.14285714285714keywords = tongue (Clic here for more details about this article) |
5/96. Epignathus teratoma: report of three cases with a review of the literature.Three cases of epignathus teratoma associated with other midline anomalies are reported. The first case involved Pierre Robin sequence and a bifid tongue. The second case was characterized by two teratomas, a meningoencephalocele, and a cleft lip and nose. The third case had Pierre Robin sequence associated with duplication of the pituitary gland and hypoplasia of the corpus callosum.- - - - - - - - - - ranking = 0.14285714285714keywords = tongue (Clic here for more details about this article) |
6/96. Massive postoperative swelling of the tongue: manual decompression and tactile intubation as a life-saving measure.Massive swelling of the tongue due to haemorrhage is a rare but potentially fatal complication secondary to trauma, surgery, tumour invasion or uncontrolled anticoagulant therapy. This article presents a report of bleeding from the left lingual artery secondary to elective excision of a lipoma of the floor of the mouth and subsequent life-threatening upper airway obstruction. In this case, the upper airway obstruction was managed by manual decompression of the tongue and tactile nasal intubation. To our knowledge this case provides the first description of using this method in life-threatening upper airway obstruction caused by massive haemorrhagic swelling of the tongue.- - - - - - - - - - ranking = 1keywords = tongue (Clic here for more details about this article) |
7/96. skin grafts used in combination with free flaps for intraoral oncological reconstruction.Surgeons have relied less on skin grafts for intraoral reconstruction by extending free flap tissue onto adjacent areas that could be potentially skin grafted. Split-thickness skin grafts provide thin, reliable epithelial coverage to tissue beds that can be grafted without requiring additional flap tissue. The combined use of split-thickness skin grafts with free tissue transfer may be advantageous in select situations. Four patients underwent intraoral tumor resection with immediate reconstruction using free tissue transfer and split-thickness skin grafts. skin grafting the tongue component of combined hemiglossectomy and floor-of-mouth (FOM) defects rather than spanning the tongue-FOM junction with flap tissue may prevent excessive bulk, improve tongue mobility, and reduce the size requirement of the flap. A split-thickness skin graft can be applied to the intraoral surface of free flaps used to reconstruct through-and-through orocutaneous defects, reducing the complexity of flap design and inset. Maxillectomy defects reconstructed with muscle flaps can be epithelialized immediately with the application of a split-thickness skin graft to provide a stable obturator cavity. In select cases, the combination of split-thickness skin grafts and free tissue transfer may have advantages over the use of flap tissue alone to cover the adjacent areas of a complex defect capable of being grafted.- - - - - - - - - - ranking = 0.42857142857143keywords = tongue (Clic here for more details about this article) |
8/96. Basaloid squamous cell carcinoma of the oral mucosa: a new case and review of 45 cases in the literature.Basaloid squamous cell carcinoma (BSCC) of the oral mucosa other than the tongue is uncommon. We report a case of a 67-year-old man who diagnosed with Stage I BSCC in the floor of the mouth. This early stage presentation carries a considerably better prognosis. Clinical summary of 46 cases of oral BSCC indicated that the tongue base was the most preferred site (61%). The patients were 19 males and 15 females with the mean age of 61 years (n=34). Most presented with Stage III or IV disease (62%). Even at the initial presentation, 47% had cervical lymph node metastases. Its aggressive clinical behaviour was characterized by a high incidence of local recurrence (32%), regional lymph node metastases (52%), and mortality rate (38%). Because of the advanced stage at presentation, oral BSCC is prognostically worse.- - - - - - - - - - ranking = 0.28571428571429keywords = tongue (Clic here for more details about this article) |
9/96. Metastatic cancer to the floor of mouth: the lingual lymph nodes.BACKGROUND: The upper level of a cervical lymphadenectomy is anatomically defined at its anterior extent by the lower border of the mandible and, in surgical practice, by the lingual nerve. A neck dissection completed below this level is generally considered adequate for removal of lymph nodes at risk for metastases from oral cavity cancer. Traditional discontinuous neck dissections do not provide for removal of floor of mouth tissue along with the primary and neck specimens. methods: A case report presenting biopsies from a T2N2bM0 squamous cell carcinoma of the mobile tongue and adjacent floor of the mouth in a 73-year-old man. RESULTS: Deep biopsy of a ventral tongue and floor of mouth squamous cell carcinoma revealed occult metastatic cancer to lymph nodes located in the superficial floor of mouth associated with the sublingual gland above the lingual nerve. This report identifies floor of mouth lymph nodes that can be involved with cancer and missed through the standard practice of discontinuous neck dissection.Conclusions. This finding offers evidence that, in certain cases, a traditional discontinuous neck dissection may not address all lymph nodes at risk in the treatment of oral cavity cancer. Further investigation into lymph node distribution within the oral cavity is warranted to reappraise the upper limits of cervical lymphadenectomy.- - - - - - - - - - ranking = 0.28571428571429keywords = tongue (Clic here for more details about this article) |
10/96. Blue rubber bleb nevus syndrome in a patient with ataxia and dementia.Blue rubber bleb nevus syndrome (BRBNS), an uncommon disorder characterized by cavernous hemangiomas, most often of the skin and gastrointestinal tract, is usually diagnosed during childhood and young adulthood. We made this diagnosis in an octogenarian referred to a geriatric medicine clinic because of concerns about his ability to live independently. ataxia, dementia, focal neurologic signs, and bluish/purplish vascular nodules on his lips, buccal mucosa, tongue, chest, and neck were noted on physical examination. magnetic resonance imaging (MRI) revealed an old left parietal infarction, multiple cavernous hemangiomas most densely concentrated in the subcortical structures and cerebellum, and areas of hemosiderin deposition. skin biopsy findings were consistent with hemangioma. The physical examination, MRI, and skin biopsy made a diagnosis of BRBNS likely. The patient's ataxia, dementia, and other neurologic signs can be explained by previous hemorrhage from the vascular malformations in his brain. Blue rubber bleb nevus syndrome is an uncommon cause of a relatively common geriatric syndrome presentation.- - - - - - - - - - ranking = 0.14285714285714keywords = tongue (Clic here for more details about this article) |
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