• J. Oral Maxillofac. Surg. · Apr 2014

    Case Reports

    Reconstructing a complex central facial defect with a multiple-folding radial forearm flap.

    • Wei Zhou, Mingwu He, Youqiao Liao, and Zhongjun Yao.
    • Associate Professor, Hubei University of Medicine and the Department of Orthopedic Microsurgery, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
    • J. Oral Maxillofac. Surg. 2014 Apr 1; 72 (4): 836.e1-4.

    AbstractThe central face is the dominant feature of humans. A complex central facial defect can severely affect a person's appearance and function and can pose significant challenges for reconstructive surgeons. The aims and principles of central facial reconstruction are to achieve adequate function and esthetics. This report describes the case of a 45-year-old man who was bitten in the central face by a wild boar. A free radial forearm flap was designed as a multiple-folding flap that was divided into several portions. The folded portions of the flap were used to reconstruct the nasal mucosa, oral mucosa, and upper lip defects and provided the lining for an eventual staged nasal reconstruction. The patient achieved good functional recovery and had a good esthetic outcome. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

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