Composite Facial Defect Reconstruction With Patient-Specific Implant After Electrical Burn Injury.

BACKGROUND

Electrical facial burns are uncommon but devastating injuries that often combine skeletal and soft-tissue loss. Single-stage restoration of bone, lining, and cover remains challenging.

CLINICAL REPORT: A 27-year-old man presented with a left hemifacial composite defect after a high-voltage electrical burn. Reconstruction used virtual surgical planning (VSP) with a patient-specific polymethyl-methacrylate (PMMA) implant for skeletal contour and a chimeric anterolateral thigh (ALT) flap for coverage.

RESULTS

The procedure achieved stable implant fixation, complete flap survival, and satisfactory malar projection without any implant-related complications.

CONCLUSION

Combining PSI using VSP with an ALT flap provides precise, reliable single-stage reconstruction in complex electrical burn-related facial defects.