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CASE STUDY
Patient Overview: 54-year-old male with advanced carcinoma of the base of the tongue, involving the supraglottis and oral tongue, presenting with severe dysphagia and speech impairment.
Diagnosis: Locally advanced squamous cell carcinoma of the base of the tongue extending to the supraglottic region and oral tongue.
Procedure:
Surgical Steps: Total glossectomy with supraglottic laryngectomy performed to achieve oncological clearance.
Reconstruction: Pectoralis major myocutaneous (PMMC) flap used for extensive reconstruction, restoring oropharyngeal and laryngeal continuity.
Outcome: Remarkable postoperative recovery with acceptable speech and swallowing function, making it a potentially unique case, possibly not reported in current literature.