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A number of surgical procedures have been advocated for the reconstruction of defects in the oral cavity after ablative surgery. This includes primary closures, skin grafts, local regional and distant flaps. The choice of a flap for reconstruction is governed by the type and size of defects and the advantages and disadvantages of the various reconstructive options. A large number of local methods have been successfully employed for intraoral reconstruction such as oral mucosal flaps, my mucosal island flaps,tongue flaps, local muscular flaps such as temporalisor sternoceiodomastoid transfer and buccal fat pad. The use of a pedicled BFP graft is a logical,convenient, and reliable method for reconstruction oforal defects up to 4 cm in diameter on the ipsilateral side of the soft palate and posterior alveolar ridge of the maxilla. It can also be used in conjunction with other local flaps and with regional myofascial flaps. Since both donor and recipient sites are in the oral cavity there is no visible scar in the donor area.
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