Reconstruction of Advanced Carcinoma of the Tongue and Oral Floor. A Case Report and Discussion of Heterogenous Multiple Primary Cancers in the Oral Cavity.

Recent progress in myocutaneous and free flaps has made repairs possible after wide resections of head and neck tumors.We treated a 67-year-old male patient with carcinoma of the tongue and oral floor.Reconstruction of large defects with the use of a pedicled latissimus dorsi flap and a free rectus abdominis flap was done after total laryngo-glossectomy and subtotal mandibular resection.The incidence of multiple primary cancer in patients with carcinoma of the tongue and oral floor is high, so periodic examimations are important.