ArticlePlastic and reconstructive surgery. Global open2026
First Free Anterolateral Thigh Flap for Facial Reconstruction Following Bear Mauling in Bhutan.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- The evolving landscape of eyebrow reconstruction: from traditional flaps to minimally invasive techniques and regenerative medicine.Frontiers in surgery · 2026Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Approximately 70% of Bhutan is forested, providing habitat for the Himalayan black bear. A farmer who was mauled by a bear experienced significant tissue loss affecting his left forehead, eyebrow, upper and lower eyelids, and cheek. Immediate management included wound irrigation, antibiotic prophylaxis, and soft-tissue reconstruction using an anterolateral thigh fasciocutaneous flap for coverage. Flap reconstruction facilitated ocular salvage, with retention of excellent visual acuity and a cosmetically acceptable, functional facial outcome. The flap also provided protection and function of the parotid duct, temporomandibular joint, and the oral and nasal cavities. This case highlights the value of a multidisciplinary team approach from ophthalmology, ear, nose, and throat, and plastic and reconstructive surgery in the management of severe composite facial defects. The recent establishment of plastic and reconstructive surgical services in Bhutan allowed for timely microsurgical intervention that would not have been possible in earlier years, demonstrating a significant advancement in local reconstructive capacity and patient outcomes.
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Registered trials
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