Abd Al-Moktader Magdy A, Ayad Wael, Ouf Mohamed Osama, Shoulkami Khalad, Youssif Sherif Hamdeno, Dahshan Hazem, Zayid Tarek
Plastic and Reconstructive Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Plast Reconstr Surg Glob Open. 2022 May 6;10(5):e4292. doi: 10.1097/GOX.0000000000004292. eCollection 2022 May.
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.
