May 1987

A Comparison of Three Methods of Oral Reconstruction

Author Affiliations

From the Division of Otolaryngology—Head and Neck Surgery, Emory Clinic, Atlanta.

Arch Otolaryngol Head Neck Surg. 1987;113(5):496-500. doi:10.1001/archotol.1987.01860050042011

• A protocol is presented that was designed to provide comparative data on the two primary oral cavity functions affected by surgery: speech and swallowing. Three types of reconstruction (skin grafts, hemitongue flaps, and myocutaneous flaps) and results of a series of tests given to 15 surgical patients with T2 and T3 tongue and/or floor of mouth lesions were evaluated. The patients who had split-thickness skin grafts had the best oral function results. The study suggests that tongue mobility is the most significant variable in determining postoperative speech results.

(Arch Otolaryngol Head Neck Surg 1987;113:496-500)