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Bunawir, Fathar Usman
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Health Professions Medicine & Pharmacology Nursing

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Subplatysmal Flap Reconstruction After Hemiglossectomy and Radical Neck Dissection for Tongue Squamous Cell Carcinoma in low-resource settings Syukri, Fahreza; Hafiz, Muhammad Zaki Abdul; Valentino, Andrea; Tripriadi, Effif Syofra; Bunawir, Fathar Usman; Salamullah, Muhammad; Maulanisa, Sinta Chaira
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55488

Abstract

Background: Squamous cell carcinoma (SCC) of the tongue exhibits aggressive local behavior and a high propensity for early cervical lymphatic metastasis. The routine management of locally advanced disease consists of hemiglossectomy with radical neck dissection followed by primary reconstruction. In many low-resource settings, microvascular free flaps may not be feasible due to limited infrastructure, prolonged operative times, or patient comorbidities. The subplatysmal flap offers a practical, time-efficient alternative in such circumstances. Case Presentation: We report a 71-year-old male with stage T3N2bM0 tongue SCC who underwent hemiglossectomy and ipsilateral RND, followed by immediate reconstruction using a subplatysmal flap harvested from the anterior cervical triangle. The flap provided adequate coverage, excellent viability, and satisfactory functional recovery, with no major postoperative complications. Conclusion: The subplatysmal flap is relatively safe and oncologically acceptable as well as functionally efficient method for moderate-size tongue defect, especially for older age or comorbid patient and non-microsurgical center.
Co-Authors Effif Syofra Tripriadi, Effif Syofra Hafiz, Muhammad Zaki Abdul Maulanisa, Sinta C. Salamullah, Muhammad Syukri, Fahreza Valentino, Andrea