Soft-tissue injury of the face

Craniofacial trauma can result in a wide variety of injuries that cause soft tissue injury of face. However, despite the enormous diversity in presentation of these injuries, they tend to follow certain patterns. Most facial injuries are either contusions, abrasions, lacerations, or avulsions. The extent of injury and approach to repair can be further assessed by the size, depth, and number of facial subunits involved. A plastic surgeon in the setting of acute craniofacial trauma, armed with certain principles of facial anatomy and primary repair methods, can drastically restore function and cosmesis to the face, while also mitigating the chance of future deformity and functional deficit. This review contains 3 figures and 26 references Keywords: facial trauma, craniofacial surgery, primary repair, facial soft tissue defects, soft tissue, facial injury, plastic surgery, facial lacerations, facial avulsions

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Mechanisms of Soft Tissue Injury and Repair from Ballistics

Facial Plastic Surgery ◽

10.1055/s-0041-1725130 ◽

2021 ◽

Author(s):

Jose E. Barrera

Keyword(s):

Soft Tissue ◽

High Velocity ◽

Life Support ◽

Tissue Injury ◽

Soft Tissue Injury ◽

Soft Tissue Injuries ◽

Advanced Trauma Life Support ◽

Reconstructive Ladder ◽

Aesthetic Appearance ◽

The Face

AbstractProjectile injuries to the face deserve particular attention to evaluate for involvement of critical structures and functional elements and treat the devastating effects on facial aesthetics. Ballistic trauma to the maxillofacial region often has significant soft tissue and bony defects, creating a greater challenge to the reconstructive surgeon. The main goals of treatment of projectile injuries to the face are decreasing the amount of contaminants and nonviable tissue at the site, ensuring functionality, and restoring aesthetic appearance. There exists a lack of robust research on the subject. Soft tissue injuries from high-velocity projectiles have changed the perspective on treating acute injuries to the face and neck. Injuries encountered during both Operation Iraqi Freedom and Operation Enduring Freedom give the author pause to reflect upon a different wounding pattern than that encountered in stateside trauma centers. Given the dissemination of high-velocity weaponry by enemy combatants such as the improvised explosive device, mortar round, and high-velocity rifles, a higher incidence of facial wounds has been reported. The mechanism of injury and a stepwise approach for surgical repair are discussed incorporating advanced trauma life support principles and a reconstructive ladder of repair.

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CASE SUMMARY ON ACUTE WOUND MANAGEMENT OF EXTENSIVE FACIAL SOFT TISSUE INJURY

10.36106/paripex/8102248 ◽

2020 ◽

pp. 1-3

Author(s):

Sunita Das ◽

Hironya Borah ◽

Arup Kakati

Keyword(s):

Soft Tissue ◽

Traffic Accidents ◽

Road Traffic ◽

Tissue Injury ◽

Soft Tissue Injury ◽

Wound Management ◽

Aesthetic Outcome ◽

Facial Soft Tissue ◽

Physical Strain ◽

The Face

Injuries to the face are commonly encountered in the Emergency department and is usually seen following road traffic accidents. It may include injuries to the soft tissue or bones of the face. Soft tissue injuries of the face almost always include injuries to the nose, as it is the most prominent feature of the face. These injuries are often not life-threatening, but its mismanagement can hamper the functional and aesthetic outcome leading to permanent mental and physical strain. Thus, to achieve a suitable final outcome, proper understanding of the facial anatomy, assessment of the wound and its proper management is necessary. This report discusses the case of a middle aged man who suffered from contaminated facial soft tissue injury following road traffic accident. Good functional and aesthetic outcome was achieved with special emphasis on the proper assessment, irrigation and meticulous repair of the wound. Follow-up of the patient was done after being discharged from the hospital.

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Face: Experimental study of soft tissue injury of the face by windshields. (Japanese)

Plastic & Reconstructive Surgery ◽

10.1097/00006534-197711000-00034 ◽

1977 ◽

Vol 60 (5) ◽

pp. 816

Author(s):

Y Maruyama ◽

T Fujino ◽

T Nakajima

Keyword(s):

Experimental Study ◽

Soft Tissue ◽

Tissue Injury ◽

Soft Tissue Injury ◽

The Face

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Management of Acute Soft Tissue Injuries of the Cheek and Principles of Scar Revision

Facial Plastic Surgery ◽

10.1055/s-0041-1722923 ◽

2021 ◽

Author(s):

Caroline Hudson ◽

Krista Olson

Keyword(s):

Soft Tissue ◽

Tissue Injury ◽

Soft Tissue Injury ◽

Soft Tissue Injuries ◽

Management Plan ◽

Complex Problem ◽

Facial Soft Tissue ◽

Scar Revision ◽

The Face ◽

Tissue Injuries

AbstractFacial soft tissue injury is a challenging and complex problem for the facial plastic and reconstructive surgeon for cosmetic and functional reasons. This article will focus on the management of soft tissue injuries of the cheek, one of the most important presenting areas of the face. The cheek, like any other part of the face, is susceptible to several types of injury and any of these injuries have the potential to disfigure and debilitate. Knowledge of anatomical structures and wound healing principles is critical to devising an appropriate management plan and achieving superior patient outcomes in scar revision cases. Multiple techniques to improve long-term scarring from facial soft tissue injuries are available.

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