Background: Myomucosal cheek flaps are currently considered the main reconstructive option for small to moderate oral cavity defects. Many reconstructive techniques following the resectioning of oral tongue squamous cell carcinoma (OTSCC) have been proposed over the years.

Methods: We report a case of OTSCC treated surgically and reconstructed with Bozola flap, analyzing the advantages and disadvantages of this surgical technique. The defect was classified according to the glossectomy classification proposed by Ansarin.

Results: We believe that the Bozola buccinator myomucosal flap is a viable alternative to free flaps for the reconstruction of certain oral tongue defects.

Conclusions: Based on our experience, the Bozola flap is an appropriate primary option for T1-T2 and certain T3 OTSCC defects (excluding the tip) for I-II and IIIa glossectomies, as recorded in the Ansarin classification.