**Figure 12.**

*(a) This 18 y/o boy was hit by a fallen wall during work, which resulted in compound comminuted fracture of right mandibular body, as well as right facial palsy and glossopharyngeal nerve palsy. Plating of right mandible was not successful, he was left with right mandibular defect and right facial palsy. He was referred to us 3 months later; then, we did free vascularized fibula mandibular reconstruction with concomitant cross facial nerve grafting at the same operation. After 3 months, the patient regained facial nerve function with good right mandibular contour. (b) Three months after free vascularized fibula mandibular reconstruction with concomitant cross facial nerve grafting at the same operation, the patient regained facial nerve function with good right mandibular contour.*

**127**

**Figure 14.**

*years later.*

**Figure 13.**

*Finesse in Damage Control Reconstruction for Trauma in Plastic Surgery*

*This young man had a bad traffic accident, resulted in a frontonasal bone defect and left blepharoptosis (upper row). Reconstruction was accomplished with 3D CT reformation of the implant that is exactly the bony defect* 

*This 30 y/o patient had his left forearm completely severed, and his right hand thumb and 4 fingers entirely cut by a machine. The amputated parts were completely replanted without any loss at all. The photo was taken 17* 

*and contour of the defect, followed by correction of blepharoptosis (lower row).*

*DOI: http://dx.doi.org/10.5772/intechopen.92975*

*Finesse in Damage Control Reconstruction for Trauma in Plastic Surgery DOI: http://dx.doi.org/10.5772/intechopen.92975*

#### **Figure 13.**

*This young man had a bad traffic accident, resulted in a frontonasal bone defect and left blepharoptosis (upper row). Reconstruction was accomplished with 3D CT reformation of the implant that is exactly the bony defect and contour of the defect, followed by correction of blepharoptosis (lower row).*

#### **Figure 14.**

*This 30 y/o patient had his left forearm completely severed, and his right hand thumb and 4 fingers entirely cut by a machine. The amputated parts were completely replanted without any loss at all. The photo was taken 17 years later.*

#### **Figure 15.**

*This 26 y/o young man had his left leg run over by a high speed car at the superhighway. After serial debridement, the compound comminuted wound showed exposure of a long segment of tibia with denuded, devitalized bone with osteomyelitis. He was announced to receive above knee amputation, then he visited our service and was transferred for limb preserving surgery. The reconstruction was accomplished with plating of fractured fibula for stabilization, and concomitant debridement, resection of dried, infected bone, followed by harvesting contralateral fibula osteoseptocutaneous free flap to re-established the left tibia segmental continuity with artery and veins anastomosed at left posterior tibial artery and veins. The patient resumed walking 3 months after the operation, the vascularized fibula hypertrophied after weight bearing.*

#### **Figure 16.**

*This 18 y/o young man got a bad electrical injury, resulted in bilateral below elbow amputation and loss of penis, painful hypertrophic scars at entire abdomen. A jumping flap was performed by another surgeon, however cannot get a satisfactory result. He was referred to our service, where resurfacing of the abdomen was performed first to completely release the scar contracture (courtesy of plastic and reconstructive surgery).*

**129**

the result.

**Figure 17.**

(**Figure 13**).

family.

*Finesse in Damage Control Reconstruction for Trauma in Plastic Surgery*

whole layer upper lip defect. The patient then regained a satisfactory facial ap-

11.This patient got a panfacial fracture after a bad trauma (**Figure 10**). Diplopia owing to right orbital floor blow out fracture with enophthalmos and ptosis, flattening of nose due to untreated LeFort I, II, III maxillary fracture and displacement bothered him. Calvarial bone grafting taken from the outer table of parietal bone was used to correct flat nose and right orbital floor bone defect, diplopia and enophthalmos. The patient was happy with

*Then reconstruction of the penile urethra was accomplished with a well-designed dorsalis pedis free flap, with simultaneous release of scar contracture in one operation. The wound healed uneventfully. This young man had been able to perform stand pissing. Two years later, a costal cartilage graft was employed to increase the rigidity* 

pearance without noticeable disfigurement.

*of the reconstructed penis (courtesy of plastic and reconstructive surgery).*

12.Palsy of the frontal branch of facial nerve (**Figure 11**).

13.Combined mandibular deficiency and facial palsy (**Figure 12a** and **b**).

14.Traffic accident, resulted in a frontonasal bone defect and left blepharoptosis

15.Complete severance of left forearm; right thumb and four fingers (**Figure 14**). He had been able to take care of himself with good function and sensibility at both hands. He got a stable job, got married and raised children with a good

*DOI: http://dx.doi.org/10.5772/intechopen.92975*

*Finesse in Damage Control Reconstruction for Trauma in Plastic Surgery DOI: http://dx.doi.org/10.5772/intechopen.92975*

**Figure 17.**

*Then reconstruction of the penile urethra was accomplished with a well-designed dorsalis pedis free flap, with simultaneous release of scar contracture in one operation. The wound healed uneventfully. This young man had been able to perform stand pissing. Two years later, a costal cartilage graft was employed to increase the rigidity of the reconstructed penis (courtesy of plastic and reconstructive surgery).*

whole layer upper lip defect. The patient then regained a satisfactory facial appearance without noticeable disfigurement.


He had been able to take care of himself with good function and sensibility at both hands. He got a stable job, got married and raised children with a good family.

16.Crushed leg, reconstructed with fibula osteoseptocutaneous free flap (**Figure 15**).

17.Reconstruction of penile loss due to electrical injury (**Figures 16a** and **17**).
