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Total face reconstruction with one free flap

C Angrigiani, D Grilli

    Plastic and Reconstructive Surgery
    |May 1, 1997
    PubMed
    Summary
    This summary is machine-generated.

    This study explored using bilateral extended scapular free flaps for severe facial burn reconstruction. The technique showed promising survival rates and good to fair aesthetic outcomes for facial resurfacing.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Burn Treatment

    Background:

    • Severe facial burns present significant reconstructive challenges.
    • Complete facial resurfacing requires robust and reliable reconstructive techniques.

    Observation:

    • A bilateral extended scapular (scapular-parascapular) free flap was employed in five patients for facial burn sequelae.
    • The flap was used for complete face resurfacing, excluding the nose, which underwent separate reconstruction.

    Findings:

    • All flaps demonstrated successful survival.
    • Four flaps achieved complete facial resurfacing, and one was used for neck and partial face reconstruction.
    • Subjective assessments by patients and surgeons indicated good to fair results.

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    Implications:

    • The bilateral extended scapular free flap is a viable option for extensive facial defect reconstruction post-burn.
    • Further research into optimizing this technique could enhance outcomes for complex facial reconstruction cases.