Versatility of local flaps in restoring anterior tongue defects.

The repair of small to medium-sized tongue defects is controversial among surgeons. This can be achieved using various local, regional, and microvascular free flaps. In this Technical Note, the authors introduce a new classification system for tongue defects based on the subunit principle and describe a technique using a modified local rhomboid flap, which is aimed at restoring both the volume and function of the anterior tongue.