Multi-staged Autologous Reconstruction of the Face
In 1948, Sir Archibald McIndoe, when referring to reconstruction of the burned face, stated: “The aim is to produce a face which in sum is symmetrical in its separate parts, of good color and texture and freely mobile so that expression of mood is possible in all its infinite variety”. Three different cases are presented at varying levels of age and deformity. The techniques and plans designed to correct these deformities have been described in order to demonstrate the intense level of planning and technical understanding necessary for successful execution. We have demonstrated three different complex patients that have been treated successfully with current techniques. While not readily available for direct comparison, the level of deformity requires intense speculation and definitive treatment. While the debate regarding autologous versus interventional procedures will continue, these important issues deserve ongoing discussion in the light of informed debate.
KeywordsFacial Nerve Functional Unit Latissimus Dorsi Lower Eyelid Reconstructive Surgeon
Composite tissue allotransplantation
Deep inferior epigastric perforator
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