The management of oral malignancy necessitates a comprehensive approach focusing on disease eradication and patient quality of life. Surgery remains pivotal, although extensive resection can lead to aesthetic and functional challenges. Reconstruction, often with osteocutaneous radial forearm free flaps (OCRFFF), is crucial for restoring form and function. Prophylactic plating aims to prevent donor site complications, although plate selection is critical. Despite OCRFFF's efficacy in anterior mandible reconstruction, concerns persist regarding donor site morbidity and adequacy for subsequent dental implantation. Collaborative efforts and advancements are essential to optimize outcomes and address limitations in oral cancer management.
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