Several methods described for reconstructing oral defects use either pedicled or free flaps. The pectoralis major flap, a pedicled flap, is commonly used for this purpose; however, this flap is bulky and is associated with considerable donor site morbidity. Likewise, the radial forearm free flap has also become a preferable reconstruction method. It offers a large surface of thin, pliable skin that allows for complex reconstruction, but unfortunately donor site morbidity rates are quite high, for example, through delayed wound healing and exposure of tendons. The need of microsurgical expertise is a major disadvantage [
1]. This makes nasolabial flaps ideal for reconstruction of small intraoral defects. The nasolabial flap is a very simple flap used for reconstruction of intraoral defects in the floor of the mouth [
2,
3], the tongue, cheek, commissures [
4], nose tip, nasal ala, and lower eyelids [
5]. The nasolabial flap may be superiorly or inferiorly based. An inferiorly based flap is useful in reconstruction of the lip, oral commissure, and anterior aspect of the floor of the mouth, while superiorly based flaps are utilized for reconstruction of the ala and tip of the nose, and the lower eyelids and cheeks. The choice of pedicle is based on the site of the defect and any need for rotation or advancement of tissue to the site of the defect [
5]. The flap may be thick or thin, depending on the requirement of the defect and the thickness of the donor tissues. Intraoral reconstruction with a nasolabial flap is a simple and fast procedure with minimum donor defect and complications. This article reviews our experience with nasolabial flaps in the reconstruction of intraoral defects.