Reconstruction of the Tongue

Total or subtotal glossectomy for carcinomas of the tongue results in severe dysfunction of speech and swallowing. In such cases the larynx is frequently removed to prevent aspiration. In our experience the larynx may be preserved and intelligible speech and swallowing, without aspiration, may be achieved. Two patients were rehabilitated following total glossectomy by means of a tongue prosthesis. In two other patients in whom over one-half of the anterior tongue was removed the tongue was reconstructed by means of a deltopectoral flap.