Functional Restoration of Complex Segmental Middle Third Facial Defect Using Tensor Fascia Lata and Lipofilling

Magdy A. Abd Al-Moktader, MD; Wael Ayad, MD; Mohamed Osama Ouf, MD; Khalad Shoulkami, MD; Sherif Hamdeno Youssif, MD; Hazem Dahshan, MD; Tarek Zayid, MD

doi:10.1097/GOX.0000000000004292

Plastic and Reconstructive Surgery, Global Open (May 2022)

Functional Restoration of Complex Segmental Middle Third Facial Defect Using Tensor Fascia Lata and Lipofilling

Magdy A. Abd Al-Moktader, MD,
Wael Ayad, MD,
Mohamed Osama Ouf, MD,
Khalad Shoulkami, MD,
Sherif Hamdeno Youssif, MD,
Hazem Dahshan, MD,
Tarek Zayid, MD

Affiliations

Magdy A. Abd Al-Moktader, MD: From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Wael Ayad, MD: From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Osama Ouf, MD: From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Khalad Shoulkami, MD: From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Sherif Hamdeno Youssif, MD: From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hazem Dahshan, MD: From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Tarek Zayid, MD: From the Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

DOI: https://doi.org/10.1097/GOX.0000000000004292
Journal volume & issue: Vol. 10, no. 5
p. e4292

Abstract

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Summary:. Composite defects in the middle third of the face have devastating effects on a patient’s life and social impacts. Several techniques have been described for the restoration of facial defects. The dynamic reconstruction of such defects mainly comprises a complex two-stage procedure and/or microsurgery, functional muscle transfer for restoration of facial animation, and filling the defects. A novel idea for the dynamic reconstruction of the complex segmental midfacial defects includes employing a fascial interposition graft to bridge the gap between the proximally innervated remnants of the facial muscle supplied by the facial nerve and the distal paralyzed perioral muscle, which is simultaneously combined with lipofilling to obtain a good contour and functional restoration.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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