Reconstructive Approach to an Acquired Absence of Multiple Facial Components: A Case Report

Oliver, Lauren N.; Chaiyasate, Kongkrit

doi:10.1097/gox.0000000000001083

Cited by 2 publications

(1 citation statement)

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“…Excisional facial operations with loss of defining facial features can leave patients severely disfigured and insecure because of their appearance. When considering a patient’s expectations regarding appearance and when discussing the use of these reconstruction techniques, acknowledging the patient’s goals and expectations of the final results is important [ 27 ]. Therefore, in the present case, it was necessary to have good doctor-patient communications because the patient underwent the second and third surgical reconstructions and resections.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of a subtotal upper lip defect with a facial artery musculomucosal flap, kite flap, and radial forearm free flap: a case report

Wang

Zhang

et al. 2018

World J Surg Onc

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BackgroundFor reconstructive surgeons, massive midface defects, including large, full-thickness wounds on the upper lip, can be very challenging. Although there are many methods for reconstruction of upper lip defects, it is difficult to obtain satisfactory restoration of oral functions and good cosmetic results.Case presentationThis case report presents a man with massive midface defects, including upper lip, left nose, and cheek defects. Over the previous 2 years, the patient had three reconstructions with sequential free flaps for the resection of recurrent tumors, the first of which was in March of 2016; this resulted in the patient having massive midface defects, including an upper lip defect, a defect on the left side of the nose, and one on the left cheek. The defects were reconstructed using a radial forearm free flap (RFFF), a facial artery musculomucosal (FAMM) flap, and a kite flap. In June 2016, he underwent a second reconstruction, this time of the left nose defect, using a left anterolateral thigh (ALT) flap. In March of 2017, the patient underwent a third reconstruction with the use of a free ALT on the left intraoral cheek and the defects on the neck. All flaps survived. No complications were encountered postoperatively. The patient regained good oral sphincter function with no reports of drooling. Although the patient underwent three surgeries, the reconstruction results were acceptable.ConclusionsFor massive midface defects, including large, full-thickness wounds on the upper lip, the combination of a FAMM flap, kite flap, and RFFF promotes the reconstruction of the complex midface structure and improves the resulting functionality.

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Section: Discussionmentioning

confidence: 99%