Abstract
A revascularized free jejunal transfer was used to reconstruct an intraoral defect after extensive tongue resection in a 56 year old male. This graft has large vessels which simplify the technical aspects of microvascular surgery. The thin, pliable nature of the flap is well suited to replace various complex defects. Since there is little postoperative contraction, the functions of swallowing and speech can be maintained without limiting the mobility of the residual tongue. In this case, the patient's speech, evaluated after the operation, was judged to be “excellent” according to the criteria of Hirose. It is stressed that this is an excellent oral reconstruction material equally comparable with radial forearm flaps.
