|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 14-21. The long radial vessel pedicle was anastomosed to the anterior facial vessels well away from the area of radiation injury. The radial artery was repaired with a reversed vein graft.
A 67-year-old man had squamous cell carcinoma of the floor of his mouth resected and treated by radiotherapy.
FIG. 14-24. The patient developed osteoradionecrosis of the mandible on the right side, with nothing to see externally.
FIG. 14-30. The cutaneous paddle is seen intraorally overlying the reconstructed mandible.
FIG. 14-31. The patient is able to wear dentures without problems, and the flap has been durable.
A 35-year-old man was treated surgically for a lesion on the anterior floor of the mouth, resulting in a defect.
FIG. 14-33. The tongue has been reflected superiorly, and the cheek flaps reflected laterally. The upper lip is visible just above the teeth (upper right). The anterior mandible and a significant portion of the body of the left side of the mandible were missing.
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