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Results One hundred seven SAI flaps and 194 non-SAI flaps were identified. SAI flaps were used less commonly than non-SAI flaps for mucosal defects (P 24 cm was associated with postoperative complications on multivariate analysis (OR 5.09, 95% CI 1.02-25.5, P = .048). Conclusions The SAI flap is best suited for cutaneous reconstruction of the face, neck, and parotid/temporal bone regions due to the favorable color match; the thin, pliable nature of the skin; ease of harvest; and equivalent complication rates compared to alternate soft-ti
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