PMC6409148_01
a, b, c: Clinical appearance and dental CT of the patient
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F1
Figure 1 shows the clinical appearance with cutaneous metastasis of the squamous cell carcinoma (a) and intraoral leukoplakia (b). Dental Computertomography (CT) (Figure 1c) revealed large osteonecrosis of the mandible with a pathological dislocated fracture of the left ramus. 
a, b, c: Illustration of the surgical reconstruction and clinical appearance. The arrow points at the remaining base of the tongue
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F2
 Figure 2 is the dental CT, revealing a pathological fracture of the left ramus of the mandible and significant loss of teeth. Figure 2 shows an illustration imaging of the surgical reconstruction of the cutaneous mandible, tongue and illustrating arterial and venous anastomosis (a) and the clinical appearance (b), the flap was sutured to the remaining base of the tongue, reconstructing the floor of the mouth (c).
a, b, c: Clinical results 8 months, postoperatively
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F3
Figure 3 shows the patients clinical examination 8 months postoperatively, closure of the mouth (a), saying the letter 'O' (b) and smiling (c).