Post-traumatic facial defects need to be treated sensitively, as the emotional repercussions and possible deformity can have lasting effects on the patient’s psychological well-being. Thus, the management of posttraumatic facial injuries requires meticulous planning and adherence to both aesthetic and reconstructive principles. We describe the case of a 29-year-old male who underwent multistage reconstruction following extensive facial injuries. The clinical challenges presented by this rare case and steps of the reconstruction procedure are presented. Sequential flaps that were placed during the restoration survived, and the patient had no lasting donor site morbidity. Post-surgery, the patient’s self-confidence was dramatically improved, as were his interactions with his family and friends. Careful planning and staged microvascular procedures were important in the management of this patient with severe injuries. The patient was rehabilitated and able to live a near-normal life, without the need for synthetic implants or lifelong immune suppression.
Level of Evidence: Level V, therapeutic study.
Hemifacial tissue loss Composite nasal reconstruction Prefabricated flap
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Compliance with ethical standards
Conflict of interest
Gopal Malhotra, Rahul K. Patil, Komma Venkat Nageshwar Reddy, Ahmed Osama Abdul Hameed, Mahil Cherian declare that they have no conflict of interest.
For this type of study formal consent is not required.
Informed consent was obtained from the patient before his inclusion in this study. Additional consent was obtained for the use of clinical pictures and during all the operative procedures.
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