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18/03/2025

Tongue Reconstruction After Oncology: Microsurgery With the ASOM-5 Surgical Microscope

Modern oncology is rapidly advancing, offering patients cutting-edge treatment and recovery methods after complex surgical interventions. One such unique approach is tongue reconstruction following oncological disease, performed by specialists at the Chernihiv Medical Center of Modern Oncology.

We talked to doctors who performed surgery with the ASOM-5 fluorescence surgical microscope, see more in our YouTube video. The head of the Department of Head, Neck, and Reconstructive Surgery at the Chernihiv Medical Center of Modern Oncology, Oleksandr Kolotylo, and oncological and plastic surgeon Oleksandr Kosenko shared insights on performing complex microsurgical intervention – tongue reconstruction after oncological disease – using the ASOM-5 intraoperative microscope.

How Is Tongue Reconstruction Performed?

Thanks to microsurgical techniques, it is possible to restore the tongue after oncological surgery while preserving its functions. The primary approach involves using a free radial forearm flap taken from the patient’s forearm. This technique not only restores the tongue’s shape but also ensures proper functionality for swallowing and speech.

Microvascular technique: anastomosis of vessels less than 1 mm in diameter, ensuring full blood supply to the transplanted flap.

With the ASOM-5 Loran surgical microscope with fluorescence, surgeons can perform precise surgical manipulations, restoring structures that are critical for the patient. The use of indocyanine green enables real-time monitoring of blood circulation in the transplanted tissues.

Advantages of Using the ASOM-5 Loran Microscope

  • High detail resolution – the optical system provides a clear view of the smallest anatomical structures.
  • Magnification up to ×26 – essential for performing microsurgical procedures, allowing the surgeon to see intricate anatomical details.
  • Safe tissue restoration – real-time monitoring of graft viability.
  • ICG visualization function – the use of fluorescent contrast to assess the blood supply of the graft and tissue viability in real-time.

Innovations That Change Lives

Thanks to modern microsurgical techniques, patients undergoing oncological surgery have the opportunity for high-quality recovery, a return to normal life, and preservation of speech functions. The use of advanced surgical equipment, such as the ASOM-5 Loran, allows doctors to achieve outstanding results in reconstructive surgery.

Modern technologies – for the future of patients!


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