Tongue free flap going white

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Dear all,

I am post-surgery by 16 months after having 40% of my tongue removed and replaced by a free flap from my forearm, with microvascular surgery.
Up until two weeks ago, the flap has remained very pink, almost a similar colour to the remainder of my tongue. However over the last two weeks, it has now turned white, and not as though it is about to shed, which it does appear to do regularly. This does appear different, thicker and rubbery and very white, almost as white as paint. Is this something that I should be concerned about? Or does this happen over time and has this happened to others?

Many thanks, much appreciated

  • Hi MrFox, I had a reconstruction to the back wall of my throat -free flap taken from my thigh 6 years ago. The same happened to me so I presume it's normal. Sometimes it's pink and sometimes very white. Strange isn't it? My head and neck team have never commented on it. If you're at all worried though mention it on your next check up.

    little-fi 

  • I have a forearm free flap where my gum used to be. It has always been very white, and doctors have commented on how white it is, but not with any concern.

    I notice various odd things it does, including occasionally growing hairs. Basically, it’s in an unexpected environment in the mouth and can respond in unexpected ways.

    Having said that, any change that concerns you is worth checking with your team.

  • Hi MrFox

    I had both tonsils removed, and the base of my tongue, and part of my throat at the back, the area where I had surgery is really white, which scared me, as I thought the scar tissue would be pink, but apparently this is very normal.as little-fi said if you are worried speak to your team, they are the experts and can put your mind at rest Slight smile

  • Good evening MrFox, i agree with the other folk, i have had a few skin grafts especially my lower jaw when it was reconstructed, my new gum is a whitish colour and does cause a bit of concern when you first notice it but when my consultant checked it 10 years ago he said its quite normal and there is nothing to worry about as long as it is healthy and getting a good blood supply. I would always suggest making an appointment with your consultant if it is causing you any concerns as it will put your mind at rest. Wishing you all the best, take care.

                                                                                                     Chris 

    Its sometimes not easy but its worth it ! 

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  • Thank you all for taking the time to reply, massively appreciated, I am going to see the consultant tomorrow so I will ask as mentioned. 

    Cheers