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Two clients had been used for 40 months. The skin color and textures associated with flap had been good. There was clearly also a clear improvement in features and purpose. In conclusion, the subfascial expanded ALT perforator flap is a fantastic option for restoring severe throat problems because of its safe harvesting even with the large flaps. The donor area is closed mostly, while the thinned expanded skin is more great looking. The drawbacks are that it is a two
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