This paper presents a review of some of the most successful higher-order numerical schemes for the compressible Navier-Stokes equations on unstructured grids. A suitable candidate scheme would need to be able to handle potentially discontinuous flows, arising from the predominantly hyperbolic character of the equations, and at the same time be well suited for elliptic problems, in order to deal with the viscous terms. Within this context, we explore the performance of Moving Least-Squares (MLS) approximations in the construction of higher order finite volume schemes on unstructured grids. The scope of the application of MLS is threefold: 1) computation of high order derivatives of the field variables for a Godunov-type approach to hyperbolic problems or terms of hyperbolic character, 2) direct reconstruction of the fluxes at cell edges, for elliptic problems or terms of elliptic character, and 3) multiresolution shock detection and selective limiting. The proposed finite volume method is formulated within a continuous spatial representation framework, provided by the MLS approximants, which is "broken" locally (inside each cell) into piecewise polynomial expansions, in order to make use of the specialized finite volume technology for hyperbolic problems. This approach is in contrast with the usual practice in the finite volume literature, which proceeds bottomup, starting from a piecewise constant spatial representa-L. Cueto-Felgueroso ( ) tion. Accuracy tests show that the proposed method achieves the expected convergence rates. Representative simulations show that the methodology is applicable to problems of engineering interest, and very competitive when compared to other existing procedures.