Partial Glossectomy with free flap rebuild of tongue
I have an upcoming surgery for a partial glossectomy with a rebuild of my tongue using the free flap. I wanted to see if anybody had this same procedure done and how the recovery process went. My biggest concern is recovery of my tongue, how long will it take to eat normal and especially until I can speak. Did your speech get permanently altered?
Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.
Connect

@shane1954 can I ask your age?
I am 78.
@logi I am 71. Will be 72 in June.
Has anyone had debulking done to their freeflap reconstruction on their tongue after a partial glossectomy? My surgery was Feb. 12th. I still have a lot of swelling in my tongue which has reduced somewhat. I am eating most foods now but my speech is still very impaired, although people say they can understand me even on the phone. I have a CT scan of my chest scheduled on June 4th because my dr. says if oral cancer spreads, the lungs are frequently where it spreads to (something else to worry about that I didn't know). My swallowing therapist told me if that scan is clear, then we could start discussing if I want to have the flap trimmed down (debulked). I'm not sure what this procedure involves although I know it is outpatient and I don't think it is painful much because the flap is numb. Does anyone have any insight about this?
-
Like -
Helpful -
Hug
1 Reaction@shane1954 thanks for sharing. I am scheduled for surgery in about 2 weeks to remove some remaining verrucous ca tissue from the back of my tongue and have a repair. I am currently questioning the surgeon about using my forearm for the graft vs using my thigh. I am sorry to hear about your compications and prolonged recovery. I am uncertain on how far to advocate for myself for the thigh site but I have specific reasons.
@logi facing a surgery with reconstruction of the tongue. I am hoping for a smooth recovery but your post is giving me pause. I hope youfeel better daily!
@healthydeb My graft for my tongue reconstruction came from my forearm but they also took a graft from my thigh to repair my forearm so I have both. The arm is still pretty ugly but looks so much better than it did in the beginning. So hard to hide it in the summer so I have stopped trying. The graft on my thigh makes me not want to wear short shorts or a bathing suit.
-
Like -
Helpful -
Hug
1 Reaction@healthydeb The damage to nerve in neck has been a big problem. The shoulder droops with pain. You may not have that happen. We are all different, swallowing therapy should start early, mine didn’t.
Many factors involved.
Pray your surgery gets the cancer and your recovery goes well. Best of luck to you. Stay positive.🩷
-
Like -
Helpful -
Hug
1 Reaction