I am confused about what are the surgical options for "building " a tongue after hemiglossectomy. I am seeing people use words like free flap, graph, microsurgery attachment Any place where I can educate myself on this, so we can choose best place for surgery? My husband is newly diagnosed. Need to make tx decisions soon


Kate, wife of husband with
May 2015, SSCA left lateral tongue, T2N2bM0 Stage 4 , Age 58
06/01/15, L hemiglossectomy, modified L radical neck, clear margins, 2 nodes positive, no extracapsular extension. Perineural invasion on lingual nerve in tongue.

Tx completed 8/28/15, IMRT and 2 high dose cisplatin.
12/15 negative PT scan
5/16 negative PT scan
2/16 fitted with partial denture
12/16 3mm area of exposed mandible identified. Started on pentoxifylline regime
3/17 completed 40 HBO dives.