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ABSTRACT
Objective: Orbitoplastic
with microvascular free flap at complicated craniofacial injury,
caused by mine explosion was presented as definite solution.
Clinical presentation: Two schoolgirls were seriously
injured - bad craniofacial damages with loss of both eyes. Orbital
- etmoidal part of one of the skulls was damaged and it caused orbital
cerebrorrhoea.
Intervention: Urgent craniotomy with epidural hematoma
evacuation, bone reconstruction and dural replacement, the reconstruction
orbital roof and anterior skull basis of were performed in the first
part. The second part consisted of orbital plastic with ulnar microvascular
free flap.
Conclusion: This serious case of air explosive
craniofacial injury was sucessfully completed by orbital plastic
with ulnar vascular free flap, suggesting itself as a good choice
in similar situations.
Key words:: craniofacial injury, orbital cerebrorrhoea, neurosurgical treatment, microvascular flap.
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