Reconstructing a complex central facial defect with a multiple-folding radial forearm flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Maxillofacial Surgery

Background:

• Central facial defects significantly impact appearance and function, presenting challenges in reconstructive surgery.
• Reconstructive goals prioritize functional restoration and aesthetic outcomes for central facial defects.

Observation:

• A 45-year-old male sustained a severe central facial injury from a wild boar bite.
• The injury involved complex defects of the nasal mucosa, oral mucosa, and upper lip.

Findings:

• A multi-folded free radial forearm flap was ingeniously designed and utilized.
• The flap segments reconstructed the nasal lining, oral lining, and upper lip.
• This approach facilitated subsequent staged nasal reconstruction.

Implications:

• This case demonstrates the efficacy of a multi-folded free radial forearm flap in complex central facial reconstruction.
• The technique achieved satisfactory functional recovery and aesthetic results.
• It offers a viable solution for challenging facial trauma cases.