Free flap reconstruction for early stage tongue squamous cell carcinoma: surgical margin and recurrence.

Abstract:

BACKGROUND:To identify the difference of surgical margin and recurrence status of early stage tongue carcinoma via wide excision in a single institution with and without free flap reconstruction. OBJECTIVE:Survey whether the reconstruction methods for early tongue cancer affects disease control, survival outcomes. METHODS:This was a retrospective study and patients with early tongue cancer underwent surgery via tumor ablation with (group 1 = 56) or without free flap reconstruction (group 2 = 291). RESULTS:The percentage of patients with free margin less than 5 mm was higher in the group 2 than in group 1 (49.48% vs. 19.64%, p < .001), as the mean free margin was significantly larger in group 1 than in group 2 (7.88 mm vs. 5.68 mm; p < .001). Despite higher number of T2 stage patients in group 1 (89.29%), the group 1 resulted in a significant lower recurrence rate (p = .024). CONCLUSIONS:The utilization of free flap reconstruction for early stage tongue cancer achieved a large pathologic free margin and had relative lower recurrence and good survival rates.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Lu CC,Tsou YA,Hua CH,Tsai MH

doi

10.1080/00016489.2018.1490030

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

945-950

issue

10

eissn

0001-6489

issn

1651-2251

journal_volume

138

pub_type

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