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The DPCFF is a versatile reconstructive technique in head and neck surgery. It provides a simple solution for a variety of cheek defects as an excellent alternative to regional or free tissue transfer. It can be used when simultaneous parotidectomy and/or neck dissection and/or facial reanimation procedures are required. This composite musculo-fascio-cutaneous unit is reliable with excellent vascularity, because it has an axial blood supply. Division of the facial suspensory ligaments during elevation of the flap in the sub-superficial musculo-aponeurotic system (SMAS) plane increases the mobility of this flap, which facilitates transfer.

Pyogenic granuloma gravidarum occurs as oral or nasal lesions in approximately 5% of pregnant women. Nasal mucosa is an unusual site for this lesion with few cases reported in the literature. A case of giant nasal pyogenic granuloma gravidarum that required radical excision through an open rhinotomy after superselective embolization is described. The patient had a good cosmetic result and a satisfactory airway when she was seen for follow-up 1 year after surgery. Giant pyogenic granuloma gravidarum is best managed with a multidisciplinary approach involving radical excision after preoperative superselective embolization for safe and complete removal of the lesion.

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