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March 1985

Reconstruction of Half of the Face

Author Affiliations

From the Columbia-Presbyterian Medical Center; St Vincent's Hospital; and Pack Medical Foundation (Dr Conley); and the College of Physicians and Surgeons, Columbia University; and the Burn Center, Harlem Hospital Center (Dr Norris), New York.

Arch Otolaryngol. 1985;111(3):142-145. doi:10.1001/archotol.1985.00800050036002

• A 29-year-old man underwent a severe electrical burn involving the entire right side of the face, resulting in destruction of the temple, orbit, a portion of the nose, zygoma, and maxilla, through-and-through destruction of the cheek and lips, and a portion of the parotid gland and buccal mucosa. This massive and debilitating wound was an acute surgical emergency, as far as life-support measures were concerned. Gradually, the patient underwent débridement, and finally resurfacing of the entire right side of the face with a large deltopectoral flap. Over four years, this flap, the area of the orbit, and the area of the lips underwent rehabilitation and the transportation of residual regional muscles, and the debulking and repositioning of the flap was carried out. The orbit was finally rehabilitated with a prosthesis.

(Arch Otolaryngol 1985;111:142-145)

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