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At least 19 recordsLinked to original sources

[Functional disorders following resection of the tongue and mouth floor].

On observing 20 patients who had underwent total tongue and floor-of-the-mouth resection, the authors stated difficulties in swallowing and breathing that in certain cases called for laryngectomy. To counteract these disorders, floor-of-the-mouth and tongue reconstruction was performed with the aid of an arterialized frontal flap, which resulted in essentially undisturbed functions.

Deglutition Disorders

Cancer of the floor of the mouth: surgical management.

After discussing the changing incidence and known difficulties in the management of mouth floor cancer, reasons are given for the increased use of surgery in treating the more extensive lesions. The significance of the topographic anatomy, patterns of lymph drainage and surgical pathology is emphasized. Principles of treatment, indications and types of operation are discussed for the main lesions encountered. Following this the preparation of patients for surgery, the methods of anaesthesia and certain technical details of surgical treatment are given. The importance of after-care and particular measures to avoid complications are stressed and conclusions reached. The paper is based on experience in the Head and Neck Unit of the Royal Marsden Hospital, London, mainly since 1965. It also derives from an extensive report on 189 cases of floor of mouth cancer seen and treated at the Hospital from 1950-1974.

Anesthesia

Floor of mouth reconstruction with free dorsalis pedis flap.

Inadequate function frequently follows extensive obliterative surgery in the oral cavity. Extra tissue will allow closure and reconstruction of the defect with improvement of oral competency. We describe a method wherein a free dorsalis pedis arterialized flap is used for closure of intraoral defects. This method has the following advantages: (1) The flap may be raised while the extirpative portion of the procedure is in progress. (2) There is no need for prior delays of the flap. (3) The skin of the dorsalis pedia area is thinner than that of other flap ares, allowing the flap to be twisted along several planes. (4) A second procedure is not needed to return the base of the "flap pedicle." (5) The time of operation was not found to be greater than that in cases in which a forehead or deltopectoral flap was used.

Arteries