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J Reconstr Microsurg 2003; 19(2): 073-078
DOI: 10.1055/s-2003-37809
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1 (212) 584-4662

Reconstruction of a Complex Hemifacial Deformity with Multiple Simultaneous Free-Flap Transfers: Case Report

Jonathan W. Jones
  • Private Practice, San Diego, California
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Publication History

Publication Date:
10 March 2003 (online)

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ABSTRACT

Severe disfigurement, facial paralysis, abnormal continuity of oral and nasal passages, and velopharyngeal incompetence resulted, following maxillectomy and cranial-base resection for a radiation-induced sarcoma. Oral lining, bone support, facial muscle, and outer skin were provided with a single-staged transfer of radial forearm, scapular bone, scapular skin, and serratus anterior muscle with anastamoses to the contralateral neck. This combination of flaps may be considered in complex facial deformities, and may obviate the need for staged prefabrication.

KEYWORDS

Facial deformity - maxillectomy defect - multiple free flap transplantation - radiation induced sarcoma - retinoblastoma

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