If you had surgical margins that still had dysplastic cels in them ( cells that are not malignant but halfway to converting to it) you are a candidate to have radiation to ensure this is completely cleaned up. Taking more tissue surgically will create quality of life issues for you and since it is dysplasia, and not more cancer, radiation is the standard of care.

I'm going to let the others here that have had the flap done answer that part of your question with their direct experiences. I'm from the school of radiation and surgery, no free flap procedure, but did have a PEG for more than a year, if you are having problems with that.

Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.