The improvement of vocal function by reconstruction of tongue with combination flaps of levator scapula , middle scalene and buccinator musculomucosal

Objective In search of a way of simple and less hurting immediate reconstruction of tougue . Methods The levator scapula flap and the medial scalene flap were applied in 13 cases with cancer of tougue after neck dissection for the immediate reconstruction of ora bottom and tongue muscle defect , Then the buccinator musculomucosal flap was applied for the immediate reconstruction of ora bottom and tongue mucous membrane defect . Results There were not flap necrosis and ora bottom fistala in all cases. The swallowing and speech rehabilitations following surgical treatment for tongue cancer were acceptable. Conclusions This surgical procedure of reconstruction of tongue and ora bottom is successful and simple, easy to perform.