Evidence map›Paper›PMID 41584394›Full record

ArticleClinical case reports2026

A Bear of a Case: Multidisciplinary Reconstruction Following a Grizzly Bear Mauling.

Jacob Beiriger, Katherine R Keefe, J Rhet Tucker, Richard B Cannon, David Adams, Hilary C McCrary

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jacob BeirigerDepartment of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.ORCID https://orcid.org/0009-0009-3374-3912
Katherine R KeefeDepartment of Otolaryngology-Head and Neck Surgery University of California, Davis Health Davis California USA.
J Rhet TuckerSchool of Dentistry The University of Utah Salt Lake City Utah USA.
Richard B CannonDepartment of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.
David AdamsSchool of Dentistry The University of Utah Salt Lake City Utah USA.
Hilary C McCraryDepartment of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.ORCID https://orcid.org/0000-0002-9523-0727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Grizzly bear attacks are rare but often result in devastating craniofacial injuries requiring staged, multidisciplinary reconstruction. A 61-year-old male sustained extensive facial trauma, including complete lower lip avulsion and anterior mandibular loss, after a grizzly bear attack. He underwent early stabilization followed by virtual surgical planning-guided fibula free flap reconstruction with immediate dental implants, and a radial forearm free flap incorporating palmaris tendon to restore oral competence. The patient's postoperative course was uncomplicated and he was decannulated and discharged. At 6 months, he underwent vestibuloplasty and delayed dental prosthesis placement. Due to insufficient lip height, a custom magnetic lower lip prosthesis was fabricated to improve function and appearance. This case demonstrates a successful multidisciplinary approach to complex facial trauma, combining microvascular reconstruction, immediate dental rehabilitation, and prosthetic innovation to achieve functional and aesthetic recovery following a rare animal mauling.

Indexed as

ear, nose, and throatepidemiologyotolaryngologypublic environmental & occupational healthsurgery

Identifiers

PMID41584394
PMCPMC12828267

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.