Free-flap reconstruction for recurrence of head-and-neck cancer with vessel depletion is a technical challenge, and the literature is sparse. The present technical note describes the key-points of an approach harvesting the internal mammary pedicle. Results are reported in 3 patients, and pros and cons are discussed.
Keywords: Free-flap reconstruction; Head-and-neck cancer; Internal mammary artery; Vessel depletion.
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