Invited Commentary

Invited Commentary 32. Thind MS, Singh A, Thind RS (1992) Repair of anterior sec- 36. Bradley PJ, Stell PM (1983) Do lingual flaps interfere with ondary palate fistula using tongue flaps. Acta Chir Plast 34:79 speech and eating? Br J Oral Surg 21:11 33. Hockstein HJ (1977) Der Verschluss grosser Restspalten im 37. Sessions DG, Dedo DD, Ogura JH (1975) Tongue flap recon- Gaumen und Segmentbereich mit Zungenlappen. Zahn Mund struction in cancer of the oral cavity. Arch Otolaryng 101:166 Kieferheilkd 65:12 38. Guerrero-Santos J (1980) Invited comment to Carreirão S and 34. Guerrero-Santos J (1968) Use of a tongue flap in secondary Lessa S. Arch Otolaryng 101:166 correction of cleft lips. J Plast Reconstr Surg 44:368 39. Chambers RG, Jaques DA, Mahoney WD (1969) Tongue flaps 35. Massengill R, Pickrell K, Mladick R (1970) Lingual flaps: ef- for intraoral reconstruction. Am J Surg 118:783 fect on speech articulation and physiology. Ann Otol Rhinol 40. Jackson IT (1987) Large fistula of the hard palate following Laryngol 79:853 bilateral cleft lip repair. Perspect Plast Surg 1:100–104 This paper emphasises the value of tongue flaps for pala- tors attached to dental plates. Most of the cases de- tal defects. The technique will be familiar to those sur- scribed in a small series presented patients in later life, geons engaged in the repair of congenital clefts of the lip when the deteriorating teeth could no longer support the and palate, but the simplicity of the procedure should be weight of an obturator. kept in mind, as it can be applied to other difficult de- Branca’s description of the blood supply of dorsal fects in the mouth and nose. tongue flaps is excellent and explains why only a thin The useful little details which some authors neglect to layer of muscle is needed in these flaps, a fact stressed describe, are to be found in this article. They often make by the authors. This means, of course, that the function all the difference, not only to the safety but to the speed of the tongue is ultimately undisturbed once healing has of the operation as well as to the postoperative care, like been completed. the tips one can discover in microscopic letters below the My own experience with these flaps has been very planting instructions on seed packets. satisfactory, and in company with many other eminent Most of the common indications for tongue flaps are surgeons named in the list of references, I can say that covered in the case examples given by the authors. I tongue flaps are both useful and safe. have used superiorly based pharyngeal flaps in combina- tion with tongue flaps for the repair of large palatal de- D. E. Tolhurst fects which had for many years been closed with obtura- 47 Aylsford Street, London SW1V 3RY, UK European Journal of Plastic Surgery Springer Journals

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Copyright © 1999 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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