ABSTRACT
Reconstruction of orofacial defects is a true reconstructive challenge as there is the need to re-establish both esthetics and function, while operating in a complex anatomical region. The selected list of local and pedicle flaps is in no way meant to be comprehensive, but instead representative of some of the most common and useful flaps when reconstructing both simple and complex orofacial defects. Ultimately, flap selection is based on careful patient analysis of the defect location, size, depth, status of the recipient bed, as well as patient comorbidities, especially a history of smoking or previous radiation. The palatal mucosa is very adherent to the underlying periosteum. The main use of the paramedian flap is to reconstruct partial to total nasal defects, but can be used to reconstruct any area within its arc of rotation. This flap provides excellent color, thickness and texture match to surrounding skin.
