PMC5067296_01
Elevation of the radial forearm fasciocutaneous element with proximal subcutaneous fat and fascia (the beavertail).
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This technique includes proximal fat and fascia (the beavertail; shown in Fig. 1) in addition to the fasciocutaneous component which can be dissected free from the vascular pedicle and folded under the skin paddle to provide additional bulk to this normally thin flap (Fig. 2).
Resulting complex defect anterior floor of mouth, ventral tongue and mandible.
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Tumour ablation resulted in a bony defect extending from the left parasymphysis to the right ramus of mandible (Fig. 3) which was reconstructed with the segment of osteotomised radial bone held with a carefully contoured preformed titanium reconstruction plate (Fig. 4).