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Materiale Plastice
Cite as: Mater. Plast.
https://doi.org/10.37358/Mat.Plast.1964

OSIM Nr. R102356
ISSN Print 0025-5289
ISSN Online 2668-8220
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Materiale Plastice (Mater. Plast.), Year 2016, Volume 53, Issue 3, 518-521



Zorin Crainiceanu, Emilia Ianes, Petru Matusz, Vlad Bloanca, Elena Seleacu, Viviana Narad, Gaurav Narad, Gheorghe Noditi, Tiberiu Bratu

Innovative Method of Titanium Plate Use for Morphological and Functional Human Face Recontruction


Abstract:
Morphological restoration of the face in complex tissue defects involving midface remains a great challenge for any surgeon. Tridimensional tomographic analyze gives excellent quality images of the defect and modern technology can provide prosthesis for skeletal replacement at least. Prelaminated free flaps are a method to reestablish morphological aspect and restore lost functions. We describe here a case of 30 years old male patient, victim of a self-inflicted gunshot wound, with a complex defect of the midface. A three-dimensional skull reconstruction was performed in order to restore the midface morphology. Following an initial uneventful evolution, at 2 weeks we noticed partial flap necrosis, with a small island of implant denudation in the mouth and significant decrease of the hypodermis, but with the integrity of the skin covering the implant. Despite of this, we observed a good general condition and improvement of patient’s mental health, swallowing restoration and phonation improvement.


Keywords:
titanium plate; human face restoration; anterolateral thigh prelaminated free flap; face reconstruction; microsurgery

Issue: 2016 Volume 53, Issue 3
Pages: 518-521
Publication date: 2016/9/30
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