Successful reconstruction in the oral cavity begins with careful planning from initial patient presentation. Close interaction and planning is necessary between the extirpative and reconstructive surgeons. No two patient situations are exactly similar and the treatment planning process must be individualized. Frequently, oral cavity reconstruction requires a combination of multiple techniques to maximize outcome. Future directions should focus on prospective evidence-based evaluation of current reconstructive techniques (32). New applications and enhancements of current techniques need to be developed, including use of bioengineered tissues, prefabricated reconstructions and minimally invasive harvest techniques (32,63-67). In parallel, further development of new reconstructive donor sites, techniques and technologies, including the use of allograft and alloplastic materials, is also important. The reconstructive surgeon must continuously strive to evaluate the outcome of each patient, and successful restoration of form and function remains a lifelong learning process.

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