Oromandibular reconstruction continues to be a challenge for head and neck reconstructive surgeon. Composite resection after neoplasm results in large soft tissue and bony defects. Microvascular free flap reconstruction after a major head & neck oncological resection is getting popular because of better functional outcome, improved aesthetics & fairly higher success rate. Many techniques are available for functional and aesthetic restoration with osteocutaneous and faciocutaneous free flaps. In this study we will evaluate the clinical outcome with different microvascular flap reconstruction. Several donor sites are available, but the most commonly being used are fibula, radius, scapula and iliac crest. The free forearm flap offers mobile, pliable, thin, sensate soft tissue, without added bulk. These advantages of forearm flap made it a popular option for the reconstruction of oral soft tissue defects with much less donor and recipient site complication rates. However FRAFF was limited to its use for bony reconstruction due to the associated morbidity during harvesting the radius and the limited bone stock (6, 7). Ultimate results are based on pre-existing co-morbidity and the surgeons operating skills.
