Intra-Oral Reconstruction

Abstract

The reconstruction of intra-oral lining is commonly required after tumor resection. For major defects, the choice is between a pedicled flap such as the pectoralis major, latissimus dorsi, trapezius or delto pectoral flap and a free tissue transfer. When a lateral mandibulectomy has been done, a pedicled myocutaneous flap often provides a good reconstruction with the bulk of the muscle filling out the side of the face in the region of the mandible. However, if a portion of the mandible has not been resected, the muscle bulk of these flaps is often excessive and a free tissue transfer may be preferable.