Making decisions regarding language reconstruction Review of the topic and clinical case presentation

Introduction: Language reconstruction is challenging, due to its important role in articulating words, deglucing and protecting respiratory pathways.The tongue is a common site in the oral cavity for primary cancers, with a high incidence due to smoking and alcohol consumption.Any reconstructive attempt must restore volume and mobility so that the tongue is functional.Goal.Clinical case presentation and bibliographic review regarding decision making regarding the selection of language and oral cavity reconstructive options.Material and Methods.Presentation of a clinical case of microsurgical reconstruction with musculocutaneous ALT collar, of a defect in the floor of the mouth and tongue secondary to resection of squamous cell carcinoma.Carried out at the Plastic Surgery and Microsurgery Service of Hospital Pasteur in June 2023.Bibliographic review using the Pubmed search engine.Using MESH terms: Platic Surgery; Tongue; Glossectomy; Microsurgery.Results: A clinical case is presented and a review of the topic is carried out while selecting reconstructive options.Conclusions.A clinical case is presented and the review carried out seeks to optimize treatment selection based on different variables such as the size of the language defect and the effect of adyacentesis.As well as the appropriate collation design that must be used in each type of tongue reconstruction to provide good predictable functional and aesthetic results, based on evidence.