Subtotal midfacial/total nasal reconstruction following shotgun blast to the face employing composite microvascular serratus anterior rib, muscle, and scapular tip.

Abstract:

:A 40-year-old man presented with near-complete mid and lower facial destruction from a shotgun blast to the face. His midface was reconstructed with a serratus anterior muscle composite flap employing rib for nasal reconstruction and scapular tip for palate. Surfacing was done with split-thickness skin grafts. A temporoparietal scalp flap completed the upper lip reconstruction, and tubed, thick, split-thickness grafts supplemented with full-thickness grafts allowed airway reconstruction. Successful restoration of form and modest function were achieved with several surgeries. Our paper discusses the controversies and difficulties encountered in achieving autogenous tissue reconstruction of this devastating injury.

journal_name

Ann Plast Surg

authors

Thomas WO,Harris CN

doi

10.1097/00000637-199703000-00018

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

291-5

issue

3

eissn

0148-7043

issn

1536-3708

journal_volume

38

pub_type

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