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· Dr. Zach Brown · Cases  · 1 min read

A Note from Dr. Brown: Guatemala, August 2026

A note from Dr. Zach Brown: Point of View helping with @smilebackusa and @orcaa.global to change a man’s life — fibula-graft reconstruction after a gunshot injury five years ago.

Surgical team in the operating room in Guatemala preparing for mandible reconstruction with a fibula graft

A Note from Dr. Brown

A note from Dr. Zach Brown (@dr.z.brown). Point of View helping with @smilebackusa and @orcaa.global to change a man’s life.

He was shot in the face during an altercation. For the past 5 years he has not had a lower jaw due to the sheer destruction of the blast.

@subwrx04 @drsteveyusupov @andyomfs @robertofuentesvelasquez @gerardfischer27 and @car.omfs all came together to help reconstruct his face with a fibula graft.

We’re thankful to @klsmartingroup to help donate these expensive plates and screws!

Every bit helps as we make dreams come true to all our patients in Guatemala. Beyond blessed to be a part of the team.

The August planning post is the case writeup and plan. The case underway update is from the OR.

Further, Together.

Surgical team in the operating room in Guatemala preparing for mandible reconstruction3D surgical plan of the mandible with a reconstruction plate spanning the defectIntra-operative view of the reconstruction plate in the field
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