Patty

Thanks. Yes, swallowing therapists vary in approach and efficacy which is why I appreciate the OCF replies. I am hoping my flap will be good as the plastic/reconstructive surgeon authored a paper "Maximizing Flap Insert for Tongue Reconstruction" that touts modifications (tongue tip rotation, Z-plasty & imbrication of floor of mouth)which purport to improve swallowing.
The snow flurry here caused my appointment with speech therapist to be postponed until tomorrow at 7:45 am