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In this report, a case of a 76\u2010year\u2010old man with SCC of the left cheek mucosa and extending to the posterolateral superior alveolar ridge is presented. The patient underwent radical excision of the tumor, omolateral modified radical neck dissection (MRND\u2010III), and contralateral selective neck dissection (levels I\u2013III). Reconstruction was performed with a facial artery myomucosal free flap. The flap was transplanted successfully, and there were no donor or recipient site complications. This technique is a good reconstructive option because of its adherence to the plastic surgery principle of \u201creplacing like with like\u201d and its minimal donor\u2010site morbidity. \u00a9 2013 Wiley Periodicals, Inc. 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