The anatomic, physiologic and aesthetic complexity of the head and neck poses
significant challenges to the management of all neoplasm arising in this compact region. The
oral cavity is the most common site for malignancies of the head and neck region (about 30%)
with the tongue and floor of mouth, are the most frequent primary sites. The primary
objective of a reconstructive effort is an aesthetic result that approaches a normal appearance.
Functional consideration, including oral competence, articulation, speech, and the role of the
lip in mastication, must be kept in mind during reconstruction of the large lip defects.
The aim of this work is to study the different available surgical techniques for
reconstruction of orofacial area after tumor excision and to address the outcome of surgery,
aesthetic result and recurrence after surgery.
This prospective study included 75 patients with different orofacial tumors, who were
admitted at both Plastic and General Surgery Departments, Sohag University Hospital, Egypt,
in the period from Mars 2004 to October 2006. The age of the patients ranged from 7 months
to 83 years, 40 patients (53.33%) were females and 35 patients (46.66%) were males.
The aesthetic and functional results were evaluated by patient’s questionnaires,
photographing and physical examination.
The overall aesthetic and functional results were excellent in 65.41%, very good in
14.66%, good in 17.33% and fair in 2.6% of the cases respectively.