Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al. |
A 23-year-old man caught his left hand between the heated metal rollers of a tortilla press, severely degloving and burning his hand and forearm.
FIG. 10-15. Dorsal view of injury.
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FIG. 10-23. Split-thickness skin grafts were placed over the fascial flap. Early postoperative view.
CASE 4 A 50-year-old man was treated for left submandibular gland mucoepidermoid carcinoma with partial mandibulectomy and radical neck dissection. This was followed with radiation therapy. The mandible subsequently fractured from osteoradionecrosis. The temporoparietal osteofascial flap was chosen to reconstruct the defect with vascularized cranial bone as a pedicled flap. (FIGs. 10-28, 10-33, 10-34, 10-36 and 10-40 from Hing, D.N., Buncke, H.J., and Alpert, B.S.: Clinical applications of the temporoparietal fascial flap. In Reconstructive Microsurgery, G. Brunelli (Ed.), New. York, Springer-Verlag, 1988, pp. 899-910). FIG. 10-28. Frontal view. Note soft tissue defect. |
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