Repair of severe tissue loss and deformity of maxillofacial area

Our experience in the management of 125 patients with massive facial defects since 1975 is detailed. The defects were closed in one of four principal ways (or a combination thereof): (1) free flap, (2) musculocutaneous flap, (3) forehead flap, and (4) dorsal tube flap. The surgical details and indications for each of these are outlined and examples given.