Fig 10 Facial reconstruction following severe compound fractures of the cranium and facial skeleton, and extensive soft-tissue damage. This patient was at the periscope of a tank which was struck by an anti-tank missile and the periscope was thrust into his face. His early treatment had consisted of removal of the comminuted fragments of the frontal bone. On his admission to Burwood his general health was excellent, but he had (a) a pulsating skull defect, frontal bone; (b) lateral fracture of the nose with marked displacement to the left; (c) an opening into the nasal fossae from the right side of the face