Foreign-body granuloma following bilateral facial reconstruction with an omental flap.
Bilateral facial reconstruction using an omental free-flap transfer for soft-tissue augmentation was performed on a 23-year-old man who had undergone previous surgical resection of an embryonal-cell rhabdomyosarcoma followed by radiation and chemotherapy. Eight weeks following surgery, the patient presented with pain and edema from a foreign-body reaction documented by electron microscopy. This was successfully managed with a course of steroid administration. The patient has remained symptom-free for 5 years.
Guyuron
B
B
Division of Plastic Surgery, Mount Sinai Medical Center, Cleveland, Ohio.
McMahon
J
J
D000328:Adult; D005145:Face / Q000601:surgery*; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000473:pathology; D006099:Granuloma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D009852:Omentum / Q000637:transplantation*; D011183:Postoperative Complications; D012086:Reoperation; D013518:Surgery, Plastic