title: Total soft-tissue reconstruction of the middle and lower face with multiple simultaneous free flaps in a pediatric patient.
abstract: A 2-year-old boy sustained a massive facial soft-tissue wound secondary to a dog attack. Essentially all the soft tissues of the face were absent, including innervation and intraoral lining. We describe the reconstruction of this defect with five simultaneous free tissue transfers. To our knowledge, this is the first report of five simultaneous free flaps in any patient.
authors.affiliation: Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas 75235, USA. jay.burns@dpsi.org
authors.forename: J D
authors.initials: JD
authors.lastname: Burt
authors.forename: A J
authors.initials: AJ
authors.lastname: Burns
authors.forename: A R
authors.initials: AR
authors.lastname: Muzaffar
authors.forename: H S
authors.initials: HS
authors.lastname: Byrd
authors.forename: P C
authors.initials: PC
authors.lastname: Hobar
authors.forename: S J
authors.initials: SJ
authors.lastname: Beran
authors.forename: W P
authors.initials: WP
authors.lastname: Adams
authors.forename: J M
authors.initials: JM
authors.lastname: Kenkel
mesh_terms: D000818:Animals; D001733:Bites and Stings; D002610:Cheek / Q000293:injuries / Q000601:surgery; D002675:Child, Preschool; D002680:Chin / Q000293:injuries / Q000601:surgery; D004285:Dogs; D005151:Facial Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009055:Mouth / Q000293:injuries / Q000601:surgery; D009666:Nose / Q000293:injuries / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps