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(A,B) 75 ys old patient with gum scc invading bone and skin. (C)Wide demolition including skin and mandible was performed. The patient was not suitable for microsurgical recostruction. (D) A titanium plate was inserted in order to reconstruct the mandibular profile. (E,F)Pedicled pectoralis flap was harvested and wrapped on the plate. (H, I, L, M)The coutaneous portion of the flap was used to reconstruct the gum and the skin defect was reconstructed with rotation local flap.
