ADVANTAGES OF USING A SPLIT THICKNESS SKIN GRAFT WITH ADM (ACELLUAR DERMAL MATRIX) FOR DONOR SITE OF SUPRAFASCIAL RADIAL FOREARM FLAP

초록

Tongue is the common cancer in worldwide and squamous cell carcinoma is a common. Functional reconstruction after tumour resection of tongue squamous cell carcinoma remains a clinical challenge. Free vascularized tissues provide powerful reconstructive options for tumor-ablative defects. There were several issues of the treatment option for tongue cancer reconstruction. The first choice for restoring soft tissue ablation in the oral cavity was the radial forearm flap (RFF). However, the sacrifice of such an important artery in the hand and the necessity of skin grafting have limited its use. Current reconstructive options either maintain mobility or provide bulk. According to the defect size, the surgeon would choice the flap for bulkiness, site and mobility of the oral cancer reconstruction. The ALT fasciocutaneous or musculocutaneous flap should be used for reconstruction to provide more bulk to augment the oral cavity, especially tongue base reconstruction. The purpose of this topic with the personal experience is to review the selection of the flaps according to the size, thickness of the defect area and forearm vascular dominance, and other factors. The speaker wishes that this topic with discussion could be helpful for audience to choice the appropriate flap for the tongue reconstruction.