Case Series

Reconstruction of the Tongue after Hemiglossectomy Using Serratus Anterior Muscle Free Flap

Table 1

Study participants, surgical treatment, and functional outcomes.

Age/sexSmokingType of tumourRecurrencePreoperative actinotherapyTNM classificationLymphatic nodes metastasesNeck dissectionLaryngeal preservationTotal surgery time/minFlap failureFEES-oropharyngealdysfunction

48/FStopAdenocarcinomaNoNopT4N00/7 LN (+ perineural invasion)BilateralYes570No, revision for small abscess in remaining tongue tissueMedium severity
60/FYesSpinocellular carcinoma (G3)YesYespT3N00/2 LN (+ perineural invasion)Unilateral -l. dx.No, supraglottic laryngectomy performed360No, completely healedHigh severity
61/MStopSpinocellular carcinoma (G3)YesYespT3N11/4 LN (+ perineural invasion)Unilateral -l. sin.Yes555No, marginal necrosisNot performed
64/MYesSpinocellular carcinoma (G2)YesYespT3N3b9/9 LN (+ perineural invasion)Unilateral -l. dx.Yes495No, completely healedHigh severity
65/FNoSpinocellular carcinoma (G3)NoNopT2N11/6LN (+ perineural invasion)BilateralYes495No, small wound dehiscence (up to 1 cm)Mild severity
67/FYesMucoepidermal carcinomaNoNopT3N00/3 LN (+ perineural invasion)Unilateral -l. dx.Yes420No, completely healedMedium to high severity
82/FNon-Spinocellular carcinoma (G1)YesNopT3N00/8 LN (0 perineural invasion)Unilateral -l. dx.Yes450No, completely healedMild to medium severity