Reconstruction of large facial and orbital defects by combining free flap transfer with craniofacial prosthesis

Authors

STREIT Libor DRAŽAN Luboš HÝŽA Petr STUPKA I. PACIOREK M. ROSICKÝ J. VESELÝ Jiří

Year of publication 2016
Type Article in Periodical
Magazine / Source Acta chirurgiae plasticae
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords Free flap; craniofacial; epithesis; combination; reconstruction; orbital; auricular
Description The reconstruction of complex craniofacial and orbital defects should satisfactorily restore functional and aesthetic integrity. Autologous reconstruction of nasal, periorbital and auricular facial subunits as a whole using a locoregional or a free flap is very challenging and the results are not sometimes ideal. With advanced technologies that are currently available it is possible to plan and produce authentic facial prosthesis that can satisfactory substitute these facial subunits. We demonstrate an alternative reconstructive concept for complex craniofacial defects based on a free flap combined with a facial prosthesis for the replacement of periorbital or auricular facial subunits. This approach was used in two patients with very satisfactory results. Combination of a free flap with a facial prosthesis may become a preferable approach for the reconstruction of complex craniofacial defects. Clinical outcomes of the reconstructions may be enhanced respecting the principle of aesthetic facial subunits.

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