الفهرس 
Introduction
Anatomical BackgroundOnly 14 pages are availabe for public view
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Abstract
The choice of oral cavity reconstruction should be carefully discussed with the patient, taking into account patient factors, comorbidity, tumor factors, prognosis, and expectations regarding functional, aesthetic and oncological outcome Microvascular free flap is currently the best method of oral cavity reconstruction, enjoying good aesthetic and functional results. However, it is sophisticated, coasty, needing high experience and special facilities and good fitness of patients. Although, free flaps have better aesthetic and functional outcomes; our study found no great difference between it and more simple pedicled flaps such as submental island flap and pectoralis major myocutaneous flap. RFFF should be only used when there are strict indications for because these are time consuming, second surgical team is recommended, longer operative time , more blood loss and blood transfusion, risk of flap loss, donor-site morbidity and longer hospital stay. Pedicled flaps for oral cavity reconstruction especially submental island flap and pectoralis major myocutaneous flap are considered a simple, time-saving, relatively safe, with minimal donor site morbidity, with no need for microsurgical anastomosis or high experience; beside its ability to be done in patients contraindicated, failed or refused free flap.