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Revista Española de Cirugía Oral y Maxilofacial

On-line version ISSN 2173-9161Print version ISSN 1130-0558


VILLANUEVA-ALCOJOL, Laura et al. Combination of local and free microvascularized flaps for reconstruction of the lower third of the face after gunshot injury. Rev Esp Cirug Oral y Maxilofac [online]. 2011, vol.33, n.4, pp.162-167. ISSN 2173-9161.

Gunshot wounds to the maxillofacial region are a challenging problem for the surgeon responsible for reconstruction. The essential difference with respect to other injuries is the severity of the lesion and soft and hard tissue loss. Extensive literature exists on facial reconstruction following tumor extirpation, but there are few reports on the use of local flaps and free tissue transfer for the post-traumatic reconstruction of high-energy defects and therapeutic algorithms for post-traumatic reconstruction. The authors report the case of a patient with reconstruction of the lower third of the face after a suicide attempt and review the principles of treatment of these patients.

Keywords : Maxillofacial trauma; Reconstruction; Mandible; Lip; Gunshot wound.

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