Restoration of oral cavity and pharyngeal function following ablative
surgery remains an elusive goal. Conventional reconstructive methods o
ften achieve satisfactory wound healing, but the introduction of a dyn
amic anesthetic and bulky flaps into the oral cavity can interfere wit
h the function of the residual soft tissues. This article examines the
anatomy, harvest technique, and applicability of neurosensory radial
forearm flaps to head and neck reconstruction with special attention t
o the attributes of this donor site which, at present, make the radial
forearm flap the flap of choice for the reconstruction of a variety o
f oral cavity and pharyngeal defects.