A 45-year-old teacher needs lateral oral-tongue cancer resection. Speech and oral bolus control are major priorities. Oncological clearance must not be reduced to simplify reconstruction.
Decision 1 of 5 · Reasoning
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The planned defect removes approximately 40% of the mobile tongue. The tongue base and mandible are preserved. The reconstructive team judges primary closure would restrict the remaining tongue; a thin soft-tissue flap is needed. Donor vascular assessment is pending.