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A retrospective review had been done on all microvascular mind and throat reconstruction instances between January 2013 and December 2017 in ourlap design which facilitates suitable associated with flap to a number of problems in head and neck repair.Customization of ALT flaps utilizing intraoperative themes is a useful way for flap design which facilitates suitable regarding the flap to a variety of flaws in head and throat reconstruction.For solid tumors, extravasation of canc