Figure 6

Post-op clinical cases. (A) Primary closure of the PIMOC donor site in patient 3. (B) 3D reconstruction of computed topography angiography (CTA) demonstrating osseous integration of the left mandibular body with the 7th rib (blue arrows) in patient 4. There is increased ossification at 6 months post-op. (C) Sagital CTA demonstrating the internal mammary artery pedicle pivoted anteriorly around the first rib (A) and clavicle (B) and ascending into the head and neck region (blue arrows).