Plastic and Reconstructive Surgery
A Cadaver Study in Preparation for Facial Allograft Transplantation in Humans, Part I: What Are Alternative Sources for Total Facial Defect Coverage?
Maria Siemionow, MD, PhD; Sakir Unal, MD; Galip Agaoglu, MD; Alper Sari, MD
Background: Reconstruction of facial defects in burn, trauma, and head-neck cancer patients is challenging. The lack of autogenous tissue availability and the need to match facial texture and color are major concerns.
Methods: Anatomical dissections were performed to search for alternative sources for facial-scalp reconstructions in five cadavers. The composite facial-scalp flaps, radial forearm, anterolateral thigh, bipedicled deep inferior epigastric perforator, and bipedicled scapular-parascapular flaps were harvested. The total surface areas of the facial defects and alternative traditional flaps were measured.
Results: The mean surface area for combined facial-scalp flaps and facial flaps without scalp was 1192 ± 38.2 cm and 675 ± 22.3 cm, respectively. When . . . [Full Text of this Article]