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Wang W, Duan J, Wang Q, et al. Complex reconstruction of facial deformity and function after severe gunshot injury: one case report. Int J Clin Exp Med. 2015;8(1):1427-33
Wang, W., Duan, J., Wang, Q., & Kuang, W. (2015). Complex reconstruction of facial deformity and function after severe gunshot injury: one case report. International journal of clinical and experimental medicine, 8(1), 1427-33.
Wang, Weijian, et al. "Complex reconstruction of facial deformity and function after severe gunshot injury: one case report." International journal of clinical and experimental medicine vol. 8,1 (2015): 1427-33.
Wang W, Duan J, Wang Q, Kuang W. Complex reconstruction of facial deformity and function after severe gunshot injury: one case report. Int J Clin Exp Med. 2015 Jan 15;8(1):1427-33. eCollection 2015. PMID: 25785151; PMCID: PMC4358606.
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Int J Clin Exp Med. 2015 Jan 15;8(1):1427-33. eCollection 2015.

Complex reconstruction of facial deformity and function after severe gunshot injury: one case report.

International journal of clinical and experimental medicine

Weijian Wang, Jianmin Duan, Qiao Wang, Wei Kuang

Affiliations

  1. Department of Oral and Maxillofacial Surgery, General Hospital of Guangzhou Military Command of PLA Guangzhou 510010, China.
  2. Department of Oral Implantology, General Hospital Guangzhou Military Command of PLA Guangzhou 510010, China.

PMID: 25785151 PMCID: PMC4358606

Abstract

In this report, we described clinical outcomes of a multi-stage surgery integrating multiple techniques in restoration of facial morphology and function of a 17-year-old boy with severe gunshot injuries. This multi-stage surgery was applied in treatment of one rare case of gunshot-caused complicated facial deformities involving most parts of the face (labrum, left nose wing, nasal columella, nasal septum, maxillary alveolar process, hard palate, soft palate, bilateral maxillary bones, left zygoma, suborbital bone defects) and clinical efficacy upon restoring facial form and function were retrospectively evaluated. The patient was diagnosed with massive facial defects and deformities caused by gunshot, which led to feeding difficulty, severe articulation disorders and serious facial disfigurement. To reconstruct facial form and restore functions of mastication and articulation, multiple examinations and surgical procedures including mirror imaging, rapid prototyping technique, porous titanium implants, microscopic surgical technique, dental implants, osteomyocutaneous flap, muscular flap, shifting and repairing of adjacent tissue flaps and free bone graft reconstruction were undertaken. Postoperatively, reconstruction of severe facial disfigurement and restoring basic functions including articulation and feeding for the first time and relatively sound clinical outcomes have been obtained, which may add clinical evidence to the treatment of similar cases of severe facial deformities.

Keywords: Gunshot wound; reconstruction; repair; tissue defects

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