How successful is tongue reconstruction?
Patients receiving tongue-base replacement had an overall intelligibility score of 98 percent, while those receiving forward (anterior)-tongue replacement had an overall score of 76 percent. Other studies report intelligibility at 78 and 40-50 percent respectively.
When is tongue reconstruction needed?
Introduction. Squamous cell carcinoma of the tongue can cause significant tissue and/or bone invasion and that may require reconstructive surgery after surgical excision. Reconstruction can improve patient quality of life and organ function considerably .
How long does tongue reconstruction take?
The operation will take approximately one to two hours if no reconstruction is required and eight to ten hours if reconstruction is needed.
Related Question Can a tongue be rebuilt?
Does the tongue regenerate after surgery?
Our findings confirm earlier reports that vallate papillae fail to reform if surgical excision is complete, but that taste buds can develop and will regenerate in tongue epithelium of nonhuman species without the presence of the original papilla.
How do they rebuild tongue?
For example, they frequently perform a procedure called a radical forearm flap, taking skin from the forearm and the soft tissues underneath to rebuild the tongue. Using microsurgical techniques, they connect the tiny blood vessels and nerves from the forearm tissue to those in the neck.
Can you taste after tongue reconstruction?
The evaluation results for the normal tongue region under the control of the chorda tympani in the patients after tongue reconstruction showed a mean grade of 4.7 for the sweet, 4.9 for the salty, 4.6 for the sour, and 4.4 for the bitter taste.
What is a tongue flap?
The tongue flap is a robust, versatile flap that can be used for reconstruction of oral, pharyngeal, and perioral defects of congenital, traumatic, and ablative origin. The rich blood supply and ease of use make the tongue flap a reliable and predictable reconstructive technique for indicated defects.
Can you have tongue surgery?
When a cancer involves part of the tongue, glossectomy can be performed to remove either a part or all of the entire tongue, depending on how much of the tongue is affected. A partial glossectomy is when part of the tongue is removed, either a small piece or even half of the tongue.
Are tongue biopsies painful?
Your tongue is very sensitive so a needle biopsy may be uncomfortable even when numbing medicine is used. Your tongue can be tender or sore, and it may feel slightly swollen after the biopsy. You may have stitches or an open sore where the biopsy was done.
How do you eat after tongue reconstruction?
You should be able to tolerate normal diet by 14 days following surgery. During this period of recovery, you should avoid hard and dried foods such as nuts, since these can cause pain and predispose to bleeding.
What kind of doctor does tongue surgery?
For tongue lesions such as changes in color, growths, or texture changes, an oral surgeon or an otolaryngologist (ear, nose and throat specialist, also known as an ENT specialist) can evaluate the area, perform a biopsy, and follow up or refer for appropriate treatment such as surgery or medication.
Can oral dysplasia be cured?
Can oral epithelial dysplasia be cured? In a very small number of cases, oral epithelial dysplasia will resolve on its own, however, this is extremely uncommon (see below).
Do tongue ties reattach?
Tongue ties don't “grow back”, but they may reattach if you aren't diligent about keeping up with post-surgery exercises.
Is it possible to swallow your tongue?
Swallowing the tongue is virtually impossible. In the human mouth, a small piece of tissue called the frenulum linguae, which sits behind the teeth and under the tongue, keeps the tongue in place, even during a seizure.
Do tongue splits grow back?
So more good news for you: It's totally reversible. In fact, if the exposed flesh isn't closed properly after the split (either with sutures or cauterization), your tongue will just go ahead and remerge on its own [source: Loftus].
Can your tongue scar?
Many cuts to the tongue heal without complications. However, as with any open wound, tongue lacerations carry the risk of infection. Keeping the wound clean can reduce this risk, but if a person notices swelling, pus, or fever, they should speak to a doctor. Tongue lacerations can also result in scarring or swelling.
How long does it take for a tongue biopsy to heal?
Depending on the biopsy site, the healing process can take between a few days to a few weeks. How long will I be numb? You may be numb for up to four hours. During this time, take care not to bite or burn your lips and tongue.
Can you talk after tongue surgery?
If you had surgery to your voice box, mouth, jaw, tongue or throat you will have problems talking after your operation. This can be frustrating and you may feel you have no control over things. Staff will be aware of this. You will have a call bell close by so you can call for help if you need it.
WHO removes tongue lesions?
Oral lesions can be benign or malignant; referral to a dentist or an otolaryngologist is appropriate if any lesion persists for more than two weeks.
What is a Glossectomy procedure?
Glossectomy is a term used to describe a family of surgical procedures resulting in resection of the tongue. While there are many classifications, glossectomy is commonly classified by the laterality (left, right, or midline) and the proportion of tongue removed.
What is a nasolabial flap?
The nasolabial flap is a versatile flap that can be used to reconstruct many areas of the nose. With slight modifications based on defect location, the flap can be used in the reconstruction of the nasal tip, dorsum, and soft triangle.
What can I eat after tongue surgery?
the rest of the day after surgery. your surgery if you feel up to it. For 2 days after surgery, drink liquids and eat soft foods only. Such as milkshakes, eggnog, yo- gurt, cooked cereals, cottage cheese, smooth soups, mashed potatoes, refried beans, ice cream, pudding, fruit smoothies and protein shakes.
How much does a biopsy of the tongue cost?
How Much Does a Mouth Biopsy Cost? On MDsave, the cost of a Mouth Biopsy ranges from $609 to $955.
What does a tongue biopsy look for?
A tongue biopsy is performed when a lesion on or under your tongue warrants further examination. As part of a complete dental exam, your dentist or dental hygienist will check the soft tissues and mucous membranes in your mouth — including your tongue — for abnormalities or signs of oral cancer.
What does oral dysplasia look like?
Oral dysplasia is detected by clinicians in the form of leukoplakia, a white patch in the oral cavity that cannot be diagnosed as any other known disorder. These lesions carry an increased risk of malignant progression to oral squamous cell carcinoma.
What does a precancerous mouth look like?
Erythroplakia. Erythroplakia is an abnormal red area or group of red spots that forms on the mucous membrane lining the mouth with no clear cause. The presence of erythroplakia does not necessarily mean cancer, but this precancerous condition has a high risk of developing into cancer.
Can mild oral dysplasia go away?
A: Many lesions do improve and in some cases may even disappear. It is certainly desirable to stop smoking for many health reasons. Even after you stop smoking, you are still at risk for oral premalignant lesions, although your risk will decrease over time.