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Multistage composite midface reconstruction after gunshot injury: A case report
Aashish Chaudhry1, Shilpi Bhadani2, Kaushal Charan Pahari2
1Department of Orthopedics and Joint Replacement, Aakash Healthcare Super Speciality Hospital, Dwarka, Delhi, India.
International Journal of Surgery Case Reports
|August 16, 2025
Summary
Advanced reconstructive surgery using 3D implants, radial forearm flaps, costochondral grafts, and prosthodontics successfully restored form and function in a severe gunshot-induced facial deformity case.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Trauma Surgery
Background:
- Firearm injuries to the face present complex reconstructive challenges.
- Restoring midfacial contour and function after severe trauma requires advanced techniques.
Observation:
- A 54-year-old male with a gunshot injury presented with severe facial deformities, including a depressed midface, collapsed nasal bridge, and missing left maxilla.
- The patient underwent a multi-staged reconstructive approach involving patient-specific 3D implants, a radial forearm flap, a costochondral graft, and prosthodontic rehabilitation.
Findings:
- Patient-specific 3D implants effectively restored facial contours.
- The radial forearm flap provided essential soft tissue coverage.
- A costochondral graft successfully reconstructed the missing maxilla, and prosthodontics improved oral function, leading to significant functional and aesthetic recovery.
Implications:
- This case highlights the efficacy of combining advanced surgical techniques for complex facial trauma.
- An individualized, multi-staged approach is crucial for optimal outcomes in severe facial reconstruction.
- Further refinement of these integrated techniques can enhance future surgical protocols for gunshot-induced deformities.
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