“…11,15 Yazici et al present a maxillary allograft that can be harvested with or without skin, and use a Le Fort II-type osteotomy. 26 Clinically and experimentally, the antigenicity of the skin is higher than in other tissues, and acute rejection of the skin may require accelerated immunosuppression. 11,[27][28][29][30] Here, we present a composite tissue midface flap formed by a Le Fort III osteotomy that is composed of bone, muscle, and mucosa only, excluding the skin.…”