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To report on the application of the 3D exoscopic system to microsurgery in a cohort of head and neck cancer patients; to analyse the performance of microvascular anastomoses, flap harvesting and insetting under exoscopic view and to evaluate the surgeon's feedback after procedures. An observational study was performed on 10 consecutive patients undergoing exoscopic microsurgical free flap reconstruction. The VITOM 3D system was applied to all procedures for microsurgical anastomoses, flap harvesting and insetting. Data about the type of
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