Abstract
Total glossectomy defects resulting from postoncologic resection are commonly reconstructed
with locoregional or free flaps. However, effectively managing complications that
may arise after reconstruction can be a significant challenge. We present a unique
case series describing prosthetic management of flap-related complications following
glossectomy in patients treated for locally advanced tongue cancer. Three patients
underwent total glossectomy, neck dissection, reconstruction using free flap, and
tracheostomy. Two patients developed an intraoral fistula located in the anterior
region of the floor of the mouth. The third patient developed a flap failure requiring
a second procedure using a pectoralis major myocutaneous flap for correction of the
orocutaneous fistula that ultimately did not heal. Mandibular obturator prostheses
lined with a soft liner were fabricated for all the patients, which helped reduce
salivary incontinence and improve swallowing and speech. This case series highlights
that a collaborative interdisciplinary team approach is crucial for optimizing postoperative
function and outcomes when managing complications from reconstructive procedures.
Keywords
tongue reconstruction - free flap - postoperative complications - obturator
