Introduction: Advancements in reconstructive surgery have shifted the focus towards the use of distant flaps for oral reconstruction, while older flap techniques are becoming outdated. Mandible reconstruction relies on vascularized free bone grafts as the gold standard, providing success rates over 90%. Selecting an appropriate donor site is crucial for successful reconstruction, and evaluating outcomes now includes factors like quality of life. With high flap survival rates, the emphasis is on functional and aesthetic results. Objective tools are available to assess postoperative outcomes, and a wide range of free-flap options have greatly improved oral defect reconstruction in terms of function and appearance. Aim: The aim of this study is to evaluate the efficacy of distant flaps in oral reconstruction, assessing their success rates, functional outcomes, and aesthetic results in patients with oral defects. Methods: In this retrospective study conducted at a single center, we aimed to examine the utilization of distant flaps for reconstructing head and neck defects in oncologic patients. The analysis focused on distant microvascular flaps, distant pedicled flaps, and avascular full-thickness transplants Results: Over an 11-year period, 500 distant flaps were included in our analysis, with a significant variation in annual utilization. Secondary reconstructions using distant flaps increased consistently, comprising 31.4% of all reconstructions in 2011. The types of distant flaps employed evolved, ranging from 3 in 1987 to 9 in 2010, providing expanding options for head and neck oncologic patients. Conclusion: In conclusion, our analysis of 500 distant flaps over 11 years confirms their efficacy and evolving utilization in oral reconstruction, demonstrating increased numbers and successful outcomes for addressing defects. Distant flaps offer versatile options, improving functional and aesthetic outcomes, and enhancing patient quality of life.