Abstract
INTRODUCTION: Major facial trauma injuries often require complex repair. Traditionally, the reconstruction of such injuries has primarily utilized only free tissue transfer. However, the advent of newer, contemporary procedures may lead to potential reconstructive improvement through the use of complementary procedures after free flap reconstruction. METHODS: An 18-year-old male patient suffered a major left facial degloving injury resulting in soft-tissue defect with exposed zygoma, and parietal bone. Multiple operations were undertaken in a staged manner for reconstruction. A state-of-the-art free anterolateral thigh (ALT) perforator flap and Medpor implant reconstruction of the midface were initially performed, followed by flap debulking, lateral canthopexy, midface lift with redo canthopexy, scalp tissue expansion for hairline reconstruction, and epidermal skin grafting for optimal skin color matching. RESULTS: Over a follow-up period of 2 years, a good and impressive reconstructive result was achieved through the use of multiple contemporary reconstructive procedures following an excellent free ALT flap reconstruction. CONCLUSIONS: Multiple staged reconstructions are essential in producing an optimal outcome in this complex facial injury that would likely not have been produced through a 1-stage traditional free flap reconstruction. Utilizing multiple, sequential contemporary surgeries may substantially improve outcome through the enhancement and refinement of results based on possibly the best initial soft-tissue reconstruction.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 406-409 |
| Number of pages | 4 |
| Journal | Annals of Plastic Surgery |
| Volume | 70 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 2013 |
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Keywords
- ALT flap
- Epidermal skin graft
- Facial trauma
- Free flap
- Medpor
- Staged reconstruction
ASJC Scopus subject areas
- Surgery
Cite this
Reconstruction after complex facial trauma : Achieving optimal outcome through multiple contemporary surgeries. / Jaiswal, Rohit; Pu, Lee Li-Qun.
In: Annals of Plastic Surgery, Vol. 70, No. 4, 04.2013, p. 406-409.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Reconstruction after complex facial trauma
T2 - Achieving optimal outcome through multiple contemporary surgeries
AU - Jaiswal, Rohit
AU - Pu, Lee Li-Qun
PY - 2013/4
Y1 - 2013/4
N2 - INTRODUCTION: Major facial trauma injuries often require complex repair. Traditionally, the reconstruction of such injuries has primarily utilized only free tissue transfer. However, the advent of newer, contemporary procedures may lead to potential reconstructive improvement through the use of complementary procedures after free flap reconstruction. METHODS: An 18-year-old male patient suffered a major left facial degloving injury resulting in soft-tissue defect with exposed zygoma, and parietal bone. Multiple operations were undertaken in a staged manner for reconstruction. A state-of-the-art free anterolateral thigh (ALT) perforator flap and Medpor implant reconstruction of the midface were initially performed, followed by flap debulking, lateral canthopexy, midface lift with redo canthopexy, scalp tissue expansion for hairline reconstruction, and epidermal skin grafting for optimal skin color matching. RESULTS: Over a follow-up period of 2 years, a good and impressive reconstructive result was achieved through the use of multiple contemporary reconstructive procedures following an excellent free ALT flap reconstruction. CONCLUSIONS: Multiple staged reconstructions are essential in producing an optimal outcome in this complex facial injury that would likely not have been produced through a 1-stage traditional free flap reconstruction. Utilizing multiple, sequential contemporary surgeries may substantially improve outcome through the enhancement and refinement of results based on possibly the best initial soft-tissue reconstruction.
AB - INTRODUCTION: Major facial trauma injuries often require complex repair. Traditionally, the reconstruction of such injuries has primarily utilized only free tissue transfer. However, the advent of newer, contemporary procedures may lead to potential reconstructive improvement through the use of complementary procedures after free flap reconstruction. METHODS: An 18-year-old male patient suffered a major left facial degloving injury resulting in soft-tissue defect with exposed zygoma, and parietal bone. Multiple operations were undertaken in a staged manner for reconstruction. A state-of-the-art free anterolateral thigh (ALT) perforator flap and Medpor implant reconstruction of the midface were initially performed, followed by flap debulking, lateral canthopexy, midface lift with redo canthopexy, scalp tissue expansion for hairline reconstruction, and epidermal skin grafting for optimal skin color matching. RESULTS: Over a follow-up period of 2 years, a good and impressive reconstructive result was achieved through the use of multiple contemporary reconstructive procedures following an excellent free ALT flap reconstruction. CONCLUSIONS: Multiple staged reconstructions are essential in producing an optimal outcome in this complex facial injury that would likely not have been produced through a 1-stage traditional free flap reconstruction. Utilizing multiple, sequential contemporary surgeries may substantially improve outcome through the enhancement and refinement of results based on possibly the best initial soft-tissue reconstruction.
KW - ALT flap
KW - Epidermal skin graft
KW - Facial trauma
KW - Free flap
KW - Medpor
KW - Staged reconstruction
UR - http://www.scopus.com/inward/record.url?scp=84875446251&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875446251&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e3182853f45
DO - 10.1097/SAP.0b013e3182853f45
M3 - Article
VL - 70
SP - 406
EP - 409
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 4
ER -