European Journal of Plastic Surgery

, Volume 40, Issue 4, pp 351–358 | Cite as

Hemi-facial reconstruction following extensive crush avulsion injury of the face

  • Gopal Malhotra
  • Rahul K. PatilEmail author
  • Komma Venkata Nageshwara Reddy
  • Ahmed Osama Abdul Hameed
  • Mahil Cherian
Case Report


Post-traumatic facial defects need to be treated sensitively, as the emotional repercussions and possible deformity can have lasting effects on the patient’s psychological well-being. Thus, the management of posttraumatic facial injuries requires meticulous planning and adherence to both aesthetic and reconstructive principles. We describe the case of a 29-year-old male who underwent multistage reconstruction following extensive facial injuries. The clinical challenges presented by this rare case and steps of the reconstruction procedure are presented. Sequential flaps that were placed during the restoration survived, and the patient had no lasting donor site morbidity. Post-surgery, the patient’s self-confidence was dramatically improved, as were his interactions with his family and friends. Careful planning and staged microvascular procedures were important in the management of this patient with severe injuries. The patient was rehabilitated and able to live a near-normal life, without the need for synthetic implants or lifelong immune suppression.

Level of Evidence: Level V, therapeutic study.


Hemifacial tissue loss Composite nasal reconstruction Prefabricated flap 


Compliance with ethical standards

Conflict of interest

Gopal Malhotra, Rahul K. Patil, Komma Venkat Nageshwar Reddy, Ahmed Osama Abdul Hameed, Mahil Cherian declare that they have no conflict of interest.

Ethical approval

For this type of study formal consent is not required.

Patient consent

Informed consent was obtained from the patient before his inclusion in this study. Additional consent was obtained for the use of clinical pictures and during all the operative procedures.



Supplementary material


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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Gopal Malhotra
    • 1
    • 2
  • Rahul K. Patil
    • 1
    • 2
    • 3
    Email author
  • Komma Venkata Nageshwara Reddy
    • 1
    • 2
  • Ahmed Osama Abdul Hameed
    • 1
    • 2
  • Mahil Cherian
    • 2
  1. 1.Department of Plastic and Reconstructive SurgeryKhoula HospitalMuscatOman
  2. 2.Plastic, Hand and Microvascular Surgery DepartmentKhoula HospitalMuscatOman
  3. 3.Department of Hand and Micro-Vascular SurgeryKhoula HospitalMuscatSultanate of Oman

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