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Composite Facial Defect Reconstruction With Patient-Specific Implant After Electrical Burn Injury
Soham Shah1, Tushar Patil, Raghav Shrotriya
1Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta, The Medicity Hospital, Gurgaon, Haryana, India.
Background:
Electrical facial burns are uncommon but devastating injuries that often combine skeletal and soft-tissue loss. Single-stage restoration of bone, lining, and cover remains challenging.
Clinical Report:
A 27-year-old man presented with a left hemifacial composite defect after a high-voltage electrical burn. Reconstruction used virtual surgical planning (VSP) with a patient-specific polymethyl-methacrylate (PMMA) implant for skeletal contour and a chimeric anterolateral thigh (ALT) flap for coverage.
Results:
The procedure achieved stable implant fixation, complete flap survival, and satisfactory malar projection without any implant-related complications.
Conclusion:
Combining PSI using VSP with an ALT flap provides precise, reliable single-stage reconstruction in complex electrical burn-related facial defects.
