Intra-oral anastomosis as possible approach for mid-face free flap reconstruction

Introduction: Craniofacial resection with adjuvant therapy is usually undertaken for locally advanced sinonasal malignancies. Elective management of the neck differs compared with oral cavity tumours of similar stage, as neck dissection is not mandated. Free tissue transfer is integral in Head and Neck reconstruction, which requires access to vessels for microvascular anastomosis. We describe a series of intra-oral anastomosis in place of conventional cervical access to reduce scarring, facial nerve and parotid morbidity and overcome difficulties related to pedicle length.

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