Subtotal midfacial/total nasal reconstruction following shotgun blast to the face employing composite microvascular serratus anterior rib, muscle, and scapular tip.
Abstract
A 40-year-old man presented with near-complete mid and lower facial destruction from a shotgun blast to the face. His midface was reconstructed with a serratus anterior muscle composite flap employing rib for nasal reconstruction and scapular tip for palate. Surfacing was done with split-thickness skin grafts. A temporoparietal scalp flap completed the upper lip reconstruction, and tubed, thick, split-thickness grafts supplemented with full-thickness grafts allowed airway reconstruction. Successful restoration of form and modest function were achieved with several surgeries. Our paper discusses the controversies and difficulties encountered in achieving autogenous tissue reconstruction of this devastating injury.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 2 | |
| 해부 | tip
|
코끝 | dict | 2 | |
| 시술 | microvascular
|
미세수술 | dict | 1 | |
| 해부 | muscle
|
scispacy | 1 | ||
| 해부 | skin grafts
|
scispacy | 1 | ||
| 해부 | upper lip
|
scispacy | 1 | ||
| 해부 | tubed
|
scispacy | 1 | ||
| 해부 | split-thickness grafts
|
scispacy | 1 | ||
| 해부 | full-thickness grafts
|
scispacy | 1 | ||
| 해부 | autogenous tissue
|
scispacy | 1 | ||
| 합병증 | scapular tip
|
scispacy | 1 | ||
| 합병증 | rib
|
scispacy | 1 | ||
| 합병증 | scalp flap
|
scispacy | 1 | ||
| 질환 | palate
|
C0700374
Palate
|
scispacy | 1 | |
| 기타 | nasal
|
scispacy | 1 | ||
| 기타 | microvascular serratus anterior
|
scispacy | 1 | ||
| 기타 | serratus anterior muscle
|
scispacy | 1 | ||
| 기타 | scapular
|
scispacy | 1 | ||
| 기타 | airway
|
scispacy | 1 |
MeSH Terms
Adult; Bone Transplantation; Facial Injuries; Humans; Male; Nose; Rhinoplasty; Suicide, Attempted; Surgery, Plastic; Surgical Flaps; Wound Healing; Wounds, Gunshot
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