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In the patients who undergo the hemiglossectomy and reconstruction with free flap transfer, remaining oropharyngeal tissue and function is relatively large, and majority of patients recover speech and eating function, which allow them to live a normal life. Actually, many reports have described that the functional results are generally good after the reconstruction with flaps following hemiglossectomy [1-9]. However, it is rather difficult to perform the reconstruction that makes the best of remaining tissue and function. In this chapter, we describe our reconstructive concept and procedures from the plastic surgeon’s standpoint, together with presenting the unfavorable results.

Functional and Aesthetic Reconstruction of the Defects Following the Hemiglossectomy in Patients with Oropharyngeal Cancer