A number of surgical procedures have been advocatedfor the
reconstruction of defects in the oral cavityafter ablative surgery.
This includes primaryclosures, skin grafts, local regional and
distantflaps. The choice of a flap for reconstruction isgoverned by
the type and size of defects and theadvantages and disadvantages of
the variousreconstructive options.A large number of local methods
have beensuccessfully employed for intraoral reconstructionsuch 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 theipsilateral side of the soft palate
and posterioralveolar ridge of the maxilla. It can also be used
inconjunction with other local flaps and with regionalmyofascial
flaps. Since both donor and recipientsites are in the oral cavity
there is no visible scarin the donor are
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