microsurgical tongue reconstructionMalignant tumors of tongue are a common pathology with high morbidity and mortality.Treatment requires surgical oncology and systemic management, with the respective reconstruction in order to achieve an adequate quality of life, due to the primary function of the tongue during feeding, communication, social and labor interaction.That is why the choice of donor tissue for reconstruction depends heavily on its characteristics and the type of defect, essential to obtain favorable results in the patients.A review of the classification of resulting defects after tongue´s tumors resection is performed, and management algorithm and microvascular free flaps more frequently used in this type of reconstruction.