Tailered Intra-oral Reconstruction with Free Tissue Transfer ; Surgical Tips & Functional Outcomes

Oral cavity including tongue, tonsil, and hypopharynx has various functions such has swallowing, mastication, speech, and taste, and hypopharynx allows swallowing of food and prevent aspiration to the trachea. Therefore, returning oro-pharyngeal functions such as mastication and swallowing by reconstruction with flaps after resection of the intraoral and laryngopharyngeal cancer is very important. Factors for consi-deration in selection of the adequate flap and safe, functional intraoral reconstruction include size and volume, size and morphology of the defect, length of the pedicle, postopera-tive sensate need and postoperative radiotheraphy. Therefore, the authors in this article tried to discuss the fac-tors (design of the flap, selection of adequate pedicle, suture of the flap) for consideration in intraoral reconstruction ton-gue, tonsil, hypopharynx and points for reflection in effective and functional reconstruction.