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![Free tissue reconstruction of massive facial trauma - review of the literature and considerations to implement aesthetic and functional outcome](https://image.oaes.cc/0ebcec7f-45d4-4172-9e38-cebb93b480e0/4257.fig.4.jpg)
Figure 4. (A) The patient in Figure 3 underwent a radial forearm osteocutaneous free flap for maxillary reconstruction 6 months post-injury but continued to have microstomia. (B, C) He subsequently underwent upper lip reconstruction with bilateral Karapandzic flaps. (D) Post-operative result after bilateral Karapandzic flaps.