Effect of plastic and aesthetic surgery on complex facial injuries in children
10.3760/cma.j.issn.1671-0290.2022.04.015
- VernacularTitle:儿童面部复杂损伤的整形美容外科修复效果
- Author:
Zhiquan GAO
1
;
Jun SHI
;
Haiyang SUN
;
Xinyu WANG
;
Dongsheng TANG
;
Jun SHEN
;
Ping YAO
Author Information
1. 杭州整形医院整形外科，杭州 310014
- Keywords:
Child;
Facial injurie;
Plastic surgery;
Cosmetic suture;
Scar
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(4):312-315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the anatomical distribution of complex facial injuries (woun-ds ≥8 cm in length and involving two or more anatomical areas) in children, and to explore the effect of plastic and aesthetic surgery.Methods:A total of 157 children with complex facial injury were admitted to the Plastic Surgery Department of Hangzhou Plastic Surgery Hospital from January 2019 to June 2021, including 94 males and 63 females, aged from 2 to 18 years, with an average age of 6.2 years. The wound length was 8-20 cm, with an average length of 10.3 cm. Plastic surgery techniques were used to design different primary repair schemes according to specific wound conditions, and early postoperative scar prevention and treatment were carried out.Results:In 157 cases, 331 anatomical areas were involved, most of which were buccal (75 sites). The injury caused by sharp instruments (glass, ceramic tile, cutting tools, etc.) ranked the first place with 78 cases. All patients were followed up for more than 3 months, and the results showed 146 cases of primary healing, 11 cases of delayed healing, 8 cases of scar hyperplasia, 149 cases of good morphological and functional recovery.Conclusions:The advantages of using plastic and cosmetic surgery techniques to treat complex facial injuries lie in the emphasis on anatomical and functional reduction and tension-reducing suture, combined with a variety of postoperative scar prevention and treatment measures, and the results are satisfactory.
