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Here, we reported a 58\u2010year\u2010old male patient who was diagnosed with maxillary sinus squamous cell carcinoma. The patient received cancer ablation by a globe\u2010sparing total maxillectomy and was immediately reconstructed with a double\u2010barrel osteocutaneous fibular flap to simultaneously restore the alveolar ridge, orbital support, and oro\u2010sinonasal separation. The short pedicle length inherent in the double\u2010barrel design of the fibular flap and the depletion of healthy recipient vessels in the midface after cancer ablation were overcome by creating an arteriovenous saphenous loop in the neck region. Though there was venous congestion on postoperative day 2, the postoperative recovery was uneventful after the revision of the venous anastomoses. During the 6\u2010months follow\u2010up, the outcome was functionally and aesthetically satisfactory. We believe that the double\u2010barrel fibular osteocutaneous flap, which avoids using titanium mesh and bone grafts, may be a viable reconstructive option in cancer patients with globe\u2010sparing total maxillectomy defects, especially for those who require postoperative radiotherapy. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 37:334\u2013338, 2017.<\/jats:p>","DOI":"10.1002\/micr.22441","type":"journal-article","created":{"date-parts":[[2015,6,17]],"date-time":"2015-06-17T08:07:48Z","timestamp":1434528468000},"page":"334-338","source":"Crossref","is-referenced-by-count":5,"title":["Maxillary reconstruction with a double\u2010barrel osteocutaneous fibular flap and arteriovenous saphenous loop after a globe\u2010sparing total maxillectomy\u2014A Case Report"],"prefix":"10.1002","volume":"37","author":[{"given":"Szu\u2010han","family":"Chen","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Department of Surgery National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuo\u2010shu","family":"Hung","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Department of Surgery National Cheng Kung University 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