[Reconstructive procedures in the oral cavity and oropharynx following tumor resection (author's transl)]

Even in far advanced carcinomas of the oral cavity and oropharynx (T3-tumors) with extensive resections there are methods of plastic reconstruction which provide an acceptable functional and esthetic result for most patients. For immediate reconstruction of the soft tissues the forehead flap of McGregor, the deltopectoral flap of Bakamjian and the posteriorly pedicled tongue flap are particularly useful. Following surgical removal of the chin portion of the mandible a titanium implant is recommended for immediate replacement. Inspite the advances in plastic reconstructive surgery, these procedures rarely lead to a five-year cure rate; regarding palliation and hope for cure they are more promising, however, than radiation therapy alone.