Introduction: Amongst the most common malignancies occuring in the head and neck region is tongue carcinoma. Tongue has a vital role in speech, mastication, and swallowing, thereby restoring these functions after tumor resection is very important. Treatment of moderate to advanced lesions results in sufficient tissue loss, causing reconstruction using locoregional or free flaps necessary. So the reconstructive technique to be used becomes very vital, as it can influence postoperative function, complications, and the well being of patient. Objective: To perform a systematic comparison of the clinical, functional results of reconstruction using local flaps and radial artery forearm free flap (RFFF) in patients undergoing partial tongue resection for tongue carcinoma. Methodology: Systematic review was done as per PRISMA guidelines. A comprehensive literature review was done across PubMed, Cochrane Library, ProQuest, and Google Scholar, using keywords and Boolean operators to identify studies relevant to the research question. It is based on patients treated by partial glossectomy for tongue cancer, comparing outcomes between RFFF and local flaps like complications, swallowing, life quality, operative time, and costeffectiveness. The Newcastle–Ottawa Scale (NOS) was used for assessing the quality of methodology of the studies that were included. Results: RFFF was associated with longer operative times, higher donor site morbidity, whereas local flaps require lesser operation time and lower costs, with both groups resulting in favourable functional results. Conclusion: In appropriately selected patients, local flaps are as efficient as RFFF, providing good functional results, requiring less surgery time and with fewer complications. These approaches is preferable in patients with comorbidities or when resources are limited.
Aims: This article addresses the clinical presentation, diagnosis, and excision of a Fibroma and a Frenectomy. Background: Fibromas are proliferative fibrous lesions of the gingiva and oral mucosa that may cause aesthetic and functional problems. Diode lasers have emerged as a promising alternative in oral surgical procedures. Diode laser, in particular, has demonstrated effective soft tissue cutting and coagulation capabilities, rendering it highly suitable for procedures such as traumatic fibroma removal in the oral cavity. Frenulum attachments in the oral cavity are pivotal, and any abnormality in their position leads to various issues such as improper functioning of the tongue affecting deglutition, speech, gingival recession, aesthetics, and overall growth of oral musculature and alveolar ridges. The primary treatment for ankyloglossia is frenectomy, a surgical intervention aimed at releasing the restricted frenulum to restore normal tongue mobility. This can be performed using either conventional surgical methods involving scissors or a scalpel, followed by suturing, or with laser technology. Laser-assisted frenectomy has gained popularity due to its precision, minimal bleeding, reduced postoperative discomfort, and faster healing. Shorter operative working time, tissue cauterisation and sterilisation, haemostasis is achieved easily, less local anaesthesia requirement, and fewer postoperative complications (pain, swelling, and infection). Laser also enhances access and visualisation due to the lack of interposed instruments and bleeding in the operative field. Case description: Case-1 Demonstrated an overgrowth in the lower anterior tooth region. In the labial mucosa, growth was pale in colour, sessile, painless, and firm in consistency. The lesion caused discomfort during the chewing of food. Thus, the lesion was excised using a soft tissue diode laser in continuous mode and sent for histopathological assessment. Case 2 Demonstrated moderate ankyloglossia, with a free tongue length of 10 mm, frenectomy was performed. The treatment was uneventful. The patient remained comfortable and cooperative throughout the procedure. At the 1-week follow-up, the patient reported no pain and demonstrated increased lingual elevation Conclusion: in Case 1, The lesions are a result of trauma/chronic irritation and arise from cells of the oral mucous membrane or periosteum. In Case 2ankyloglossia may also be associated with various genetic and congenital syndromes, including Ehlers-Danlos Syndrome, Beckwith-Wiedemann Syndrome, Simosa Syndrome, X-linked cleft palate, and Orofaciodigital syndrome Clinical significance: The case demonstrates the need for proper diagnosis and management The use of laser demonstrated complete fibroma removal, minimal bleeding, uneventful healing within seven to nine days..
