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A 63\u2010year\u2010old female was referred because of recurrence of squamous cell carcinoma of the tongue, which involved the left\u2010sided tongue base and pharynx with circumferential involvement of the homolateral external carotid artery. This artery and its branches were excluded as potential recipients. To close the defect after tumor excision, a free vertical rectus abdominis muscle arterial flap pedicle was anastomosed to the homolateral internal carotid artery with the help of a Pruitt\u2010Inahara outlying carotid shunt. The venous anastomosis was performed to the internal jugular vein. The VRAM flap survived without complications. This procedure is to be considered an alternative rescue technique for salvage reconstruction in vessel depleted necks. \u00a9 2011 Wiley\u2010Liss, Inc. Microsurgery, 2011.<\/jats:p>","DOI":"10.1002\/micr.20849","type":"journal-article","created":{"date-parts":[[2011,2,26]],"date-time":"2011-02-26T12:02:34Z","timestamp":1298721754000},"page":"234-236","source":"Crossref","is-referenced-by-count":8,"title":["The pruitt\u2010inahara carotid shunt as an assisting tool to anastomose the arterial free flap pedicle to the internal carotid artery in the vessel\u2010depleted neck"],"prefix":"10.1002","volume":"31","author":[{"given":"Marzia","family":"Salgarello","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Snider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerio","family":"Finocchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Bussu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaetano","family":"Paludetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Almadori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,2,23]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20409"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.3.319"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.3.328"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20676"},{"key":"e_1_2_5_6_2","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/S0007-1226(82)90122-9","article-title":"Free flaps and irradiated recipient vessels: An experimental study in rabbits","volume":"35","author":"Krag C","year":"1982","journal-title":"Br J Plast Surg"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/02844318209026218"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20560"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000095409.32437.d4"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318172b91d"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1997.0013"},{"key":"e_1_2_5_12_2","first-page":"795","article-title":"Initial events in radiations\u2010induced atheromatosis. 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