Flap Tubing And Waltzing For Complex Facial Reconstruction In The West Indies

Ballistic facial wounds present daunting reconstructive challenges to the most experienced of surgeons. The early Waltzing method tissue transfer, perfected by Sir Gillies, was superseded free flaps and transplantation as methods for reconstruction. In low resource setting, however, Waltz may be only suitable option. This case study describes use reconstruction at Port Spain General Hospital in Trinidad. subject sustained a gunshot wound face resulting complex midface mandibular defects. Here, bilateral deltopectoral were used replace destroyed soft tissue.