title: Transfer of free fillet lateral arm flap for facial reconstruction.
abstract: We describe a 16-year-old male patient who had a major right facial degloving injury resulting in a soft-tissue defect with exposed zygoma as well as temporal and frontal bones. Multiple operations were undertaken in a staged manner for reconstruction. Lateral arm free fillet flap transfer was initially performed with fixation of bones with miniplates, which is followed by flap debulking, lateral canthopexy, scalp tissue expansion for hairline reconstruction, as well as ear reconstruction with costal cartilage and local flap techniques. After a follow-up period of 2 years, a good and impressive reconstructive result was achieved through the use of multiple contemporary reconstructive procedures after a successful free fillet flap transfer from an amputated part.
authors.affiliation: From the *Clinic of Plastic, Reconstructive and Aesthetic Surgery, Denizli State Hospital, Denizli; and †Department of Plastic, Reconstructive and Aesthetic Surgery, School of Medicine, Necmettin Erbakan University, Konya, Turkey.
authors.forename: Fazli Cengiz
authors.initials: FC
authors.lastname: Bayram
authors.forename: Mehmet
authors.initials: M
authors.lastname: Dadaci
authors.forename: Bilsev
authors.initials: B
authors.lastname: Ince
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Altuntas
mesh_terms: D000293:Adolescent; D000673:Amputation, Traumatic / Q000601:surgery; D001134:Arm Injuries / Q000601:surgery; D002356:Cartilage / Q000637:transplantation; D004431:Ear, External / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000637:transplantation*; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries; D008337:Mandibular Fractures / Q000601:surgery; D008440:Maxillary Fractures / Q000601:surgery; D009104:Multiple Trauma; D009917:Orbital Fractures / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012535:Scalp / Q000293:injuries / Q000601:surgery; D017695:Soft Tissue Injuries / Q000601:surgery*; D015626:Tissue Expansion / Q000379:methods; D060053:Transplant Donor Site / Q000601:surgery; D015051:Zygomatic Fractures / Q000601:surgery