Reconstructive options and issues after extensive infratemporal fossa clearance for bucco-alveolar cancer

The reviewed evidence supports a tailored, flap-specific approach based on defect components and patient-specific risk factors. For optimal outcomes in this complex anatomical region, surgical planning must prioritize the introduction of well vascularized tissue to ensure healing, protect vital structures, and withstand adjuvant therapies, thereby reducing complications and facilitating rehabilitation.