**2. Strategic approaches**

Strategic approaches should follow the demarcation of anatomical landmarks as the following:


### **2.1 Methods of facial reconstruction**

Methods commonly applied for facial resurfacing can be categorized as the followings:

**119**

**Figure 1.**

*The remaining scar can be inconspicuous.*

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

Selection of method for facial resurfacing depends on location, etiology, func-

The patient sustained avulsion injury of right side forehead, resulting in a palm sized uneven unsightly scar. The right side temple and mid-forehead skin was then expanded by using 2 tissue expanders. Thereafter, the grafted area was removed with sufficient expansion of the forehead skin, which brought about

This 18 y/o boy had a big AVM at left ear and temple, which was excised and the ear was 3/5 amputated and then skin grafted during his childhood.

To reconstruct his left ear, a 70 ml tissue expander was placed underneath the grafted skin. With gradual expansion at grafted skin, implantation of a carved rib cartilage graft for recontouring of his left ear was accomplished (**Figure 2**).

3.Facial resurfacing with resection of underlying AVM (arteriovenous malformation) at parotid gland, where skin had been expanded with the growth of

*Right forehead scar, treated with tissue expansion of neighboring flaps, excision of scar with primary closure.* 

In this chapter, many kinds of situations for facial resurfacing are to be pre-

tional and aesthetic considerations on each specific individual demands.

sented, with discussions explicitly depicted for each strategic approach.

2.Tissue expansion at grafted skin for auricular reconstruction.

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

1.Resurfacing with tissue expansion

much improved esthetic result (**Figure 1**).

**3. Case presentations**

the AVM.


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

Selection of method for facial resurfacing depends on location, etiology, functional and aesthetic considerations on each specific individual demands.

In this chapter, many kinds of situations for facial resurfacing are to be presented, with discussions explicitly depicted for each strategic approach.
