Posteriorly based dorsal tongue flap in buccal carcinoma: an institutional experience


  • Pankaj Kumar Sahu Department of ENT and Head & Neck Surgery, Command Hospital Lucknow, Uttar Pradesh, India
  • Kamal Deep Joshi Department of ENT, Military Hospital, Roorkee, Uttarakhand, India
  • Manmohan Singh Brar Department of Preventive and Social Medicine, Military Hospital, Meerut, Uttarakhand, India



Tongue flap, Oral carcinoma, Buccal carcinoma, Swallowing, Flap reconstruction


Background: Defect following surgical management of Squamous cell carcinoma of buccal mucosa ofter requires reconstruction for restoration of form and function of oral cavity. Posteriorly based dorsal tongue flap is well known, but less utilised technique for such reconstruction. The aim of this article is to present institutional experience of posteriorly based dorsal tongue flap as a reconstructive option in selected cases of carcinoma of buccal mucosa after wide local excision with marginal mandibulectomy and its impact on rehabilitation.

Methods: In this cohort study, twelve selected cases of early carcinoma buccal mucosa, who underwent surgical excision with marginal mandibulectomy with reconstruction with posteriorly based dorsal tongue flap were included and followed up for atleast one year. Objective evaluation of swallowing and subjective evaluation of speech was done. The total duration of the study was three years. Statistical analysis was done using Friedman test and Wilcoxon Sign-Rank test using SPSS 2.0.  

Results: The result of the study showed that there is significant reduction in swallowing function in post-operative period as determined by MDADI score. However there is significant improvement at Six weeks compared to 10th post-operative day. The speech also remains intelligible. No flap related complication was observed.

Conclusions: Posteriorly based dorsal tongue flap is a simple, reliable and versatile flap for reconstruction of surgical defects following wide local excision and marginal mandibulectomy for early carcinoma of buccal mucosa, without substantial morbidity and with satisfactory swallowing and speech.

Author Biography

Kamal Deep Joshi, Department of ENT, Military Hospital, Roorkee, Uttarakhand, India

Dept of ENT,

Military Hospital Allahabad, Prayagraj, uttar Pradesh  India 211001


Padma R, Thilagavathi R, Sudaresan S. Survival outcome of buccal mucosa carcinoma with multimodal therapy: An institutional study. Int. J. Nutr. Pharmacol. Neurol. Disease 2016;6:76-80

Varshita A. Prevalence of oral cancer in India. J Pharm Sci R. 2015;7(10):845-8.

Ramachandra NB. The hierarchy of oral cancers in India. Int J H&N Surg. 2012;3(3):143-8.

Montero PH. Patel SG. Cancer of the oral cavity. Surg Oncol Clin N Am. 2015;24(3):491-508.

Geum DH, Roh YC, Yoon SY, Kim HG, Lee JH, Song JM, et al. The impact factors on 5-year survival rate in patients operated with oral cancer. J. Korean Assoc. Oral Maxillofac Surg. 2013;39(5):207–16.

Chen AY, Frankowski R, Bishop LJ, Herbert T, Leyk S, Lewin J, et al. The Development and Validation of a Dysphagia-Specific Quality-of-Life Questionnaire for Patients With Head and Neck Cancer The M. D. Anderson Dysphagia Inventory. Arch Otolaryngol Head Neck Surg. 2001;127(7):870–6.

Kim YK, Yeo HH, Kim SG. Use of the tongue flap for intraoral reconstruction: a report of 16 cases. J. Oral Maxillofac Surg. 1998;56(6):716-21.

Deshmukh A, Kannan S, Thakkar P, Chaukar D, Yadav P, D’Cruz A. Tongue flap revisited. J Can Res Ther. 2013;9:215-8.

Pawar SS, Lata KA. Tongue flap reconstruction for defects after resection of oral cancer: a versatile flap. Eur J Can. 2017;72:112.






Original Research Articles