Fig. 3

 A 45-year-old female patient with maxilla squamous cell carcinoma (T4N0M0) underwent a wide excision and reconstruction of mesh and mini-plates (A). The chimeric ALT flap (30 cm × 6 cm) was designed for simultaneous nasal airway and palatal defect reconstruction (B). A nasal airway tubing surrounded by a skin paddle was used to guide airway reconstruction (C). The VL muscle was transferred to the right maxillary defect (D), and the palatal defect was covered with the other skin paddle in accordance with the defect size (E). An immediately postoperative image is shown (F). At 2-years follow-up, a computed tomography scan revealed partial nasal airway stenosis without compromising the respiratory function (G). Postoperative 2-years follow-up image (H)