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CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(02): 192-196
DOI: 10.1055/s-0041-1729504
Case Series

Anterolateral Thigh Skin and Fascia in Facial Skin Defects with Trismus: Two Problems, One Solution

Prakash Panagatla
1   Department of Plastic and Reconstructive Surgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
,
Parvathi Ravula
1   Department of Plastic and Reconstructive Surgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
,
S. Praveen
1   Department of Plastic and Reconstructive Surgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
,
Narsimha Rao Varagani
2   Department of Plastic Surgery, KIMS, Narketpalle, Telangana, India
,
R. Srikanth
1   Department of Plastic and Reconstructive Surgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
,
Jagadish Kiran Appaka
1   Department of Plastic and Reconstructive Surgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
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Abstract

A case series of five patients with skin loss in the lateral face with trismus that followed delayed presentation following trauma, necrotizing infection, and radiation fibrosis was treated with coronoidectomy and condylar excision to effect adequate mouth opening; the anterolateral thigh flap was used for cover and the fascia was used as an interposition graft to prevent recurrence. Two patients with more than 9 years of follow-up had an average of 40 mm interincisal opening.

Keywords

anterolateral thigh flap - coronoid excision - condylectomy - vascularized fascia - facial skin loss - necrotizing infection


Publikationsverlauf

Artikel online veröffentlicht:
22. Juni 2021

© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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