(1) PMS College of Dental Science & Research,Trivandrum,India
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Local flaps have been commonly used in the reconstruction of small facial defects left after excision of primary tumours. However, larger defects often present a surgical difficulty and may necessitate free flaps. However, in the repair of such large defects, multiple local flaps may prove to be a viable and satisfactory alternative.
We resected a lesion 4*5cm size, quadrilateral in shape, on the left ala of the nose, extending on to the dorsum, left infra orbital and malar regions along with a wide margin of normal tissue. Reconstruction of the resultant defect was done using multiple local flaps namely the paramedian forehead flap, the lateral cheek rotation flap & the platysma myocutaneous flap.
Facial defects can be managed with the correct choice of local flap. Local flaps being easy to harvest and handle, provide good results due to good matching of the skin in terms of colour, texture, and thickness.
Our case, throws light, on the versatility of multiple local facial flaps for maxillofacial reconstruction.