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Pedicled Supraclavicular Artery Island Flap Versus Free Radial Forearm Flap for Tongue Reconstruction Following Hemiglossectomy

Zhang, Senlin MD; Chen, Wei MD; Cao, Gang MD; Dong, Zhen MD

doi: 10.1097/SCS.0000000000002031
Brief Clinical Studies

This study investigated the tongue function and donor-site morbidity of patients with malignant tumors who had undergone immediate flap reconstruction surgery. Twenty-seven patients who had undergone immediate reconstruction after hemiglossectomy were observed. Twelve patients were reconstructed using the pedicled supraclavicular artery island flap (PSAIF) and 15 patients using the free radial forearm flap (FRFF). Flap survival, speech and swallowing function, and donor-site morbidity at the 6-month follow-up were evaluated. All the flaps were successfully transferred. No obvious complications were found in either the transferred flaps or donor regions. Age, sex, defect extent, speech and swallowing function were comparable between the 2 groups. Donor-site complications were less frequent with PSAIF reconstruction than FRFF reconstruction. The PSAIF is reliable and well suited for hemiglossectomy defect. It has few significant complications, and allows preservation of oral function.

Department of Stomatology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu, China.

Address correspondence and reprint requests to Senlin Zhang, MD, Department of Stomatology, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, 210002 Nanjing, Jiangsu, China; E-mail:

Received 8 April, 2015

Accepted 28 June, 2015

SZ and WC contributed equally to this work, and are joint first authors.

This study was supported by grants from the National Natural Science Foundation of China (Grant No. 81102051), the Natural Science Foundation of Jiangsu Province (Grant No. BK2011659), and the Nanjing University Fundamental Research Funds for the Central Universities (Grant No. 021414340210).

The authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.