Thank you for responding. My husband had a flap constructed from his thigh (knee to hip due to needing total tongue) It is sutured. They don't feel he'll be able to do the syringe push back method for fear of aspiration since his epiglottis was also removed. They have only really given him about a 10% chance of any swallowing. This whole thing is so horrible-I wish I could wake up and it was over. We have a 6 year old little boy that I am also so worried about. Thanks for listening.