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               DISCUSSION
               This review article references and discusses many of the commonly implemented and upcoming
               technologies that has been utilized in the field of FTT today. While there are proponents to each of these
               advances - be it more detailed preoperative imaging modalities, improved microsurgical optics, or more
               sensitive postoperative adjuncts - they must be weighed against the burgeoning costs of healthcare delivery.
               Adoption of new technology can be exciting, however a responsible practice needs to inform their decision
               with objective improvement in patient outcomes and/or decrease in operative timing as it pertains to their
               specific institution. Furthermore, cost saving via reducing operative time needs to be carefully assessed on
               an individual institutional level, as a minor decrease may not necessarily translate to an appreciable
               reduction in operative costs.


               CONCLUSION
               There is a significant amount of technology that can be applied in the preoperative, intraoperative, and
               postoperative setting to further optimize FTT outcomes and efficiency. These technologies continue to
               evolve and is an exciting area of research. It is imperative for head and neck surgeons to be aware of these
               technological advances and apply them to clinical practice as seen fit and as local resources and practices
               allow.

               DECLARATIONS
               Authors’ contributions
               Made substantial contributions to conception and design of the study and performed data analysis and
               interpretation: Ali SA, Tamaki A, Thuener JE, Li S
               Made substantial contributions to conception and design of the study, as well as provided administrative
               and technical support: Fowler N, Lavertu P, Teknos TN, Rezaee RP

               Availability of data and materials
               Not applicable.

               Financial support and sponsorship
               None.


               Conflicts of interest
               Dr. Rod P. Rezaee is a consultant for Zimer Biomet (Warsaw, IN). All other authors declared that there are
               no conflicts of interest.

               Ethical approval and consent to participate
               Not applicable.

               Consent for publication
               Not applicable.

               Copyright
               © The Author(s) 2021.

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