Aesthetic soft tissue management in facial trauma
10.5124/jkma.2018.61.12.715
- Author:
Kyu Jin CHUNG
1
;
Tae Gon KIM
;
Jin Ho LEE
Author Information
1. Department of Plastic & Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea. chungkj@ynu.ac.kr
- Publication Type:Original Article
- Keywords:
Face;
Wounds and injuries;
Soft tissues;
Therapy
- MeSH:
Cheek;
Cicatrix;
Debridement;
Ear;
Eyelids;
Facial Nerve;
Forehead;
Hematoma;
Hemorrhage;
Humans;
Lip;
Mass Screening;
Parotid Gland;
Postoperative Care;
Scalp;
Silicon;
Silicones;
Soft Tissue Injuries;
Solar System;
Wound Healing;
Wounds and Injuries
- From:Journal of the Korean Medical Association
2018;61(12):715-723
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Facial soft tissue injury due to trauma is common. Severe damage of soft tissue causes functional and cosmetic problems. In the initial evaluation of patients with facial trauma, airway maintenance and respiratory maintenance are the most important. The principles of treatment include adequate irrigation and debridement, primary closure, or secondary wound healing. Postoperative care such as taping, silicone gel sheeting, and sun screening is important to prevent scarring. The scalp and forehead are abundant in blood and can cause severe bleeding. The eyelid is very thin and has a multi-layered structure, requiring accurate suturing and reconstruction of the layers. It is advisable to determine the presence of hematoma in the ear and treat it. When the cheek area is damaged, it is necessary to identify and treat the damage of the parotid gland and the facial nerve branch. The lips should be sewn with the white roll of lip and vermillion.
