A Bear of a Case: Multidisciplinary Reconstruction Following a Grizzly Bear Mauling.
| Title: | A Bear of a Case: Multidisciplinary Reconstruction Following a Grizzly Bear Mauling. |
|---|---|
| Authors: | Beiriger J; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.; Keefe KR; Department of Otolaryngology-Head and Neck Surgery University of California, Davis Health Davis California USA.; Tucker JR; School of Dentistry The University of Utah Salt Lake City Utah USA.; Cannon RB; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.; Adams D; School of Dentistry The University of Utah Salt Lake City Utah USA.; McCrary HC; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA. |
| Source: | Clinical case reports [Clin Case Rep] 2026 Jan 23; Vol. 14 (2), pp. e71614. Date of Electronic Publication: 2026 Jan 23 (Print Publication: 2026). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: John Wiley & Sons Country of Publication: England NLM ID: 101620385 Publication Model: eCollection Cited Medium: Print ISSN: 2050-0904 (Print) Linking ISSN: 20500904 NLM ISO Abbreviation: Clin Case Rep Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Chichester, UK : John Wiley & Sons |
| 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.; (© 2026 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd.) |
| Competing Interests: | Permissions: Written permission for reproduced material from other sources was obtained.The authors declare no conflicts of interest. |
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| Contributed Indexing: | Keywords: ear, nose, and throat; epidemiology; otolaryngology; public environmental & occupational health; surgery |
| Entry Date(s): | Date Created: 20260126 Date Completed: 20260126 Latest Revision: 20260128 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12828267 |
| DOI: | 10.1002/ccr3.71614 |
| PMID: | 41584394 |
| Database: | MEDLINE |
Journal Article