*4.2.1 Small defects*

In cases of small defects up to one-third of the tongue, primary closure could be done (**Figure 4a** and **b**), and if needed, due to a small floor of mouth resection, a skin graft is added in order to avoid a scar combined with tongue fixation. Usually the functional results are optimal, but sometimes skin graft contraction and hyperpigmentation can result, or graft fixation may be inadequate leading to shearing and wound dehiscence [19].

## *4.2.2 Larger defects*
