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This video demonstrates the use of a robotic surgical assist arm, specifically the Zimmer Biomet WalterLorenz arm, in a complex head and neck reconstructive surgery involving a scapular tip/latissimus dorsi free flap for a 67-year-old patient with advanced squamous cell carcinoma of the oral cavity. The key objective is to showcase how the robotic arm enhances surgical precision and efficiency by providing stable retraction, reducing the need for additional assistants, and minimizing fatigue-related challenges during prolonged procedures. The video highlights the setup, positioning, and intraoperative use of the robotic arm, including its role in maintaining optimal visualization and facilitating delicate dissections and osteotomies. The clinical significance of this technology lies in its ability to improve surgical ergonomics and outcomes by enabling the surgical team to focus more effectively on the intricate aspects of the procedure. This video serves as a valuable resource for surgeons interested in integrating robotic assist technology into head and neck reconstructive surgeries., (© 2025 Wiley Periodicals LLC.)