Application of local flap in emergent reconstruction of the skin and soft tissue defects after facial trauma

VernacularTitle:局部皮瓣在面部创伤性皮肤软组织缺损急诊修复中的应用
Author: Xiaochuan HE ; Chunbing HU ; Bin ZHOU ; Zhen LIU ; Zhidan GAO ; Guoping WU ; Li GUO
Publication Type:Journal Article
Keywords: Face; Skin transplantation; Soft tissue defect; Surgical flap
From: Chinese Journal of Medical Aesthetics and Cosmetology 2012;18(4):248-250
CountryChina
Language:Chinese
Abstract: Objective To explore the procedures of reconstruction emergency for skin and soft tisue defects due to trauma with local flap based on plastic surgical principles and techniques.Methods Thirty-two patients with facial defects caused by tramua were treated.After strict debridement of the wound of the skin and soft tissue,the flaps were designed according to the wound condition with plastic surgical principles.Subcutaneous SMAS pedicle flap,V-Y advancement flap,orbicularis flap,nasolabial groove flaps and others were chosen for wound repair,to suture and close the wound meticu lously.Results All of 32 treated cases,the wounds were primary healing.After 6-18 months follow-up,there was no obvious scar formation or functional problems.Second stage reconstruction was not needed since the cosmetic effect was perfect.Conclusions It is a satisfactory and effective method to emergently treat the skin and soft tissue defects after facial trauma with local flap based on the plastic surgical principles,which is well worth popularizing in clinic.