Two ways to rebuild a tongue: which one leaves patients better off?
NCT ID NCT07819617
First seen Sep 15, 2026 · Last updated Sep 16, 2026 · Updated 1 time
Summary
Researchers compare two surgical techniques for rebuilding the tongue after cancer removal: the submental island pedicled flap, taken from under the chin, and the radial forearm free flap, taken from the arm. Twenty-eight adults with tongue cancer that requires partial or total removal of the tongue join the study. Everyone answers a quality-of-life questionnaire before surgery and again at 6 and 12 months, covering speech, swallowing, appearance, and mood. The goal is to see whether one flap leads to better daily life after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgical reconstruction of the tongue using either a submental island pedicled flap or a radial forearm free flap
- What this could lead to
- If one flap clearly gives better quality of life, surgeons could favor it for rebuilding the tongue after cancer removal, helping patients speak, swallow, and feel more like themselves.
- What could go wrong
- The study is small, with 28 patients at one center, so its results may not apply to everyone. Both operations carry risks of bleeding, infection, flap failure, and scarring, and quality-of-life scores can be swayed by factors outside the surgery itself.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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28 people
The number who actually took part.
- Started
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Sep 2024
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients undergoing hemiglossectomy for oral tongue squamous cell carcinoma with immediate reconstruction using either a radial forearm free flap (RFFF) or a submental island pedicled flap (SIPF).
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adult patients (aged 18 years or older) diagnosed with squamous cell carcinoma of the tongue requiring partial or total glossectomy. 2. Indication for immediate soft tissue reconstruction using either Submental Island Pedicled Flap (SIPF) or Radial Forearm Free Flap (RFFF). 3. Patients eligible and cleared for major surgical resection and flap reconstruction under general anesthesia. 4. Patient's informed consent to participate in the study and complete follow-up evaluations. Exclusion Criteria: 1. History of previous radiation therapy or surgical intervention in the head and neck region. 2. Clinical or radiological evidence of nodal metastasis in level I submental lymph nodes (for SIPF candidates). 3. Severe systemic comorbidities precluding major surgery or prolonged general anesthesia (ASA class IV or higher). 4. Distance or inability to commit to the 12-month postoperative follow-up schedule and quality of life assessments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Faculty of Dental Medicine, Al-Azhar University (Assiut Branch)
Asyut, Assuit, Egypt
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