“…So long as the tissue is replaced and contraction is avoided, the detrimental effects on functional outcomes are limited. Free flaps can provide vascularized and sensitized skin cover to increase the rate of healing and avoid contraction of the remaining tissues; however, they cannot replace the complex muscular movements of the tongue and soft palate (Brown et al, 2006). Therefore, organ preservation appears to translate to functional preservation, at least in tongue cancer.…”