Simultaneous maxillary and mandibular reconstruction with one free osteocutaneous flap.
case_report · Level V
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- Record sourced from PubMed, PMID 8516391.
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Abstract
The concept of immediate reconstruction of massive facial injury with rigid internal fixation and free-tissue transfer continues to evolve. This case is unique in that it is the first report of the following: (1) simultaneous combined maxillary and mandibular reconstruction with one vascularized bone graft and (2) immediate total maxillary reconstruction with vascularized fibular bone. The nasopharynx was closed with a tubed radial forearm flap. Reconstruction was staged over several days, with dissection/banking of flaps, grafts, recipient sites, and debridement as a preliminary stage.
Medical subject headings
- Mandibular Injuries
- Maxillofacial Injuries
- Surgical Flaps
- Wounds, Gunshot