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A 17-year-old man was severely injured including a fractured pelvis and a degloving injury to the lumbar, sacral, and gluteal regions. After multiple revisions, a 6 x 7 cm wide x 10 cm deep defect in the sacral area was successfully treated by transfer of a reversed turnover latissimus dorsi muscle flap. He is now fully mobilised three years later.

The use of preformed vitallium TMJ-prosthesis in combination with a microvascular iliac bone graft is an alternative method for hemimandibular reconstruction. It has several advantages compared with earlier described methods, and we have used it successfully in two cases.

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