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Purpose: Arteriovenous malformation(AVM)present a significant clinical challenge to the head and neck surgeons which is often difficult to treat and can leave large,complex defects,and often requires a multidisciplinary team approach.The purpose of this article is to present our experience in surgical management of AVM in head and neck,and to evaluate free tissue transfer(FTT)as a safe and effective reconstructive technique to treat tissue defect after AVM resection.