Total face reconstruction using a pre-expanded, bilateral, extended, parascapular free flap

Annals of Plastic Surgery
Craig B Birgfeld, David W Low

Abstract

A 37-year-old male sustained extensive, self-inflicted gasoline burns to his head, face, chest, upper extremities, and anterior thighs. Although he underwent initial resuscitation and skin grafting at a regional burn center, he presented to our clinic with thick, unstable burn scars covering his face and scalp. He had multiple functional and esthetic needs that are described. He required approximately 30 x 35 cm of skin to resurface his entire face and anterior scalp. His back and buttocks were his only unscarred, potential donor sites. Authors have described use of a bilateral parascapular free flap for similar deformities. This patient required pre-expansion of this free flap to maximize available tissue and minimize the donor defect. This technique provided this patient with a large area of healthy skin and soft tissue that will ultimately provide this patient with an improved functional and esthetic result.

References

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Citations

Feb 26, 2008·Archives of Orthopaedic and Trauma Surgery·C RollB Kinner
Nov 1, 2007·Seminars in Plastic Surgery·Maria Siemionow, Yalcin Kulahci
Oct 4, 2011·Annales de chirurgie plastique et esthétique·F DuteilleP Perrot
May 11, 2011·Transplant International : Official Journal of the European Society for Organ Transplantation·Stefan SchneebergerUNKNOWN ESOT CTA Working Group
Jul 16, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Luis LandinAraceli Caballero
Sep 29, 2007·Annals of Plastic Surgery·Christina RollBernd Kinner

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