Primary reconstruction of a major loss of lower jaw by an animal bite using a "rib sandwich" pectoralis major island flap.
A 20 weeks pregnant woman was bitten by a wild bear which took away the central portion of her jaw. A single stage primary reconstruction was performed using a composite pedicled pectoralis major "rib sandwich" island flap. This provided continence of the mouth, allowing her to feed herself within 3 weeks of the operation and to speak reasonably by 6 weeks.
Govila
A
A
Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Rao
G S
GS
James
J H
JH
D000328:Adult; D000818:Animals; D001733:Bites and Stings / Q000601:surgery*; D002335:Carnivora; D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008338:Mandibular Injuries / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D013524:Surgical Flaps; D001503:Ursidae