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Abstract
Aesthetic reconstruction of facial defects is a major task that may face the reconstructive surgeon, because of the unique structure and the special topography of the face. So, not only filling the defect is the main goal in facial reconstruction but also the aesthetic consideration must be in mind of the reconstructive surgeon.
We decided that local flaps are the best aesthetic method that can reconstruct small and medium size defects, because it present tissue that match with facial skin in colour, texture and special characters.
In large defects, combined local flaps and regional flaps can be used for facial reconstruction especially in patients who can not withstand free flap as a major and complex technique. However, free flaps in spite of tissue mismatching as a distant tissue, it remain the first choice in:
- Patients with huge and complicated composite facial defects.
- History of radiotherapy as radiation affects the local tissue vascularity.
- chronic infections of skin due to affection of tissue vascularity.
- Huge defects with bonny loss which need bone grafts.
All that provided with patients can withstand the lengthy and complex free flap technique.
Aesthetic reconstruction of facial defects is a major task that may face the reconstructive surgeon, because of the unique structure and the special topography of the face. So, not only filling the defect is the main goal in facial reconstruction but also the aesthetic consideration must be in mind of the reconstructive surgeon.