一例黑熊咬伤面部严重毁损的修复重建

One case of craniomaxillofacial reconstruction after bear bite

2016年11月昆明医科大学第二附属医院整形外科收治1例被黑熊咬伤致大面积颜面部组织缺损的患者,男性,39岁患者右面部皮肤软组织缺损、右眼损伤、颧骨颧弓、腮腺组织及面神经损伤。分别进行3次修复手术,一期行入院后急诊清创,二期行肩胛皮瓣游离移植修复,三期行颧骨颧弓复合体修复手术,患者容貌得到修复,术后随访1年,效果良好。

In October 2016, a male patient attacked by a black bear was treated in the Department of Plastic Surgery, the Second Affiliated Hospital of Kunming Medical University.The patient had facial skin and soft tissue defects, and zygomatic arch and buccal damage. The patient received three operations, including debridement, scapular free skin flap transplantation, and reconstruction of zygomatic arch. The facial appearance recovered well after 6-months follow-up.