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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: Jacob Beiriger; Katherine R. Keefe; J. Rhet Tucker; Richard B. Cannon; David Adams; Hilary C. McCrary
Source: Clinical Case Reports, Vol 14, Iss 2, Pp n/a-n/a (2026)
Publisher Information: Wiley, 2026.
Publication Year: 2026
Collection: LCC:Medicine; LCC:Medicine (General)
Subject Terms: ear, nose, and throat; epidemiology; otolaryngology; public environmental & occupational health; surgery; Medicine; Medicine (General); R5-920
Description: 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.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2050-0904
Relation: https://doaj.org/toc/2050-0904
DOI: 10.1002/ccr3.71614
Access URL: https://doaj.org/article/f4e9e2b97a2f4662b7fe08dbc8ad56ef
Accession Number: edsdoj.f4e9e2b97a2f4662b7fe08dbc8ad56ef
Database: Directory of Open Access Journals