Abstract
The surgical treatment of recurrent or previously treated malignancies of the oral cavity presents one of the greatest challenges known to the head and neck surgeon and reconstructive oncologist. These problems are faced with unfortunate frequency and bring oft-devastating functional cost along with the very real threat of death from uncontrolled locoregional disease. The “successful” (long-term locoregional control, effective palliation, the occasional cure) treatment of these cases requires technical expertise and judgment known only to the most experienced head and neck surgeon. Despite this, treatment failure is common and humbling.
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