Facial Soft Tissue Injury and Healing

2021 ◽  
Vol 37 (04) ◽  
pp. 415-415
Author(s):  
Sydney C. Butts
Author(s):  
Oneida A. Arosarena ◽  
Issam N. Eid

AbstractSoft tissue trauma to the face is challenging to manage due to functional and aesthetic concerns. Management requires careful regional considerations to maintain function such as visual fields and oral competence in periorbital and perioral injuries, respectively. Basic wound management principles apply to facial soft tissue injuries including copious irrigation and tension-free closure. There is no consensus and high-level evidence for antibiotic prophylaxis especially in various bite injuries. Ballistic injuries and other mechanisms are briefly reviewed. Scar revision for soft tissue injuries can require multiple procedures and interventions. Surgery as well as office procedures such as resurfacing with lasers can be employed and will be reviewed.


2020 ◽  
Author(s):  
Michelle Seu ◽  
Amir H. Dorafshar ◽  
Fan Liang

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


Author(s):  
Rikta Pande ◽  
Bandana Koirala ◽  
Mehul Jaisani ◽  
Chandrakant Pasvan

The present case reports facial soft tissue injury involving the lateral aesthetic unit of the cheek on a 10-year-old boy from the disposed mobile battery blast on a roadside campfire. This case highlights one of the challenges encountered from injury to parotid duct and its conservative management.


2018 ◽  
Vol 6 (1) ◽  
pp. 15-19
Author(s):  
Namita Shrestha ◽  
Bhawana Dangol ◽  
Ishwor Raj Devkota ◽  
Ajit Nepal ◽  
Deepak Yadav ◽  
...  

Objective: To find out the prevalence of various types of head and neck trauma.Material and Methods: This retrospective study was done in the department of ENT and HNS, Patan Hospital, PAHS. Charts were retrospectively reviewed for total 61 inpatients with a diagnosis suggestive of head and neck trauma from August 2013 to January 2015. Data was collected for  age, sex, address, type of admission (emergency/OPD), mechanism of injury, site of injury , imaging including X-rays/CT scan wherever applicable and results, surgical therapy, type of anesthesia, hospital admission duration, complications, and follow-up and analyzed.Result: Males were common than females (62.3% vs. 37.7%).  Fall was the most common mode of injury (100%) in both pediatric and elderly population and in adults RTA (42.10%) was the most common mode. In the type of injury most common in pediatrics was oral cavity and oropharyngeal injury (47.60%), in adults facial soft tissue injury (STI) and facial fractures (42.10%) were equally common and in geriatrics  it was (100%).Conclusion: Adult males were prone to head and neck trauma mostly sustaining soft tissue injury (STI)  and fractures due to RTA and physical assult. Injury to oral cavity and oropharynx and STI due to fall is common in extreme of ages. Though the management out comes were good and no grave complications were reported in this study.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015 


2020 ◽  
pp. 1-3
Author(s):  
Sunita Das ◽  
Hironya Borah ◽  
Arup Kakati

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.


Author(s):  
Sam Schild ◽  
Tatiana Reis Puntarelli ◽  
Margarita delaPena ◽  
Adam Johnson ◽  
Sydney C. Butts

AbstractSoft tissue injuries of the head and neck are a common reason for medical evaluation and treatment in pediatric populations with some unique and important considerations when compared with adults. The incidence and type of injuries continue to evolve with the adoption of new safety measures, technology advancements, and education of the general population. The goal of this article is to provide the reader with a thorough understanding of the evaluation and management of pediatric soft tissue trauma including the initial workup, physical examination, appropriateness of antimicrobial therapy, and setting for surgical repair. Additionally, the pediatric anesthetic considerations for evaluation and repair in regard to local anesthesia, sedation, and general anesthesia are described in detail. There is a focus on dog bites, perinatal injuries, and child abuse as these entities are distinctive to a pediatric population and have particular management recommendations. Lastly, application of the reconstructive ladder as it applies to children is supported with specific case examples and figures. Although there are many parallels to the management of soft tissue injury in adults, we will highlight the special situations that occur in pediatric populations, which are imperative for the facial plastic and reconstructive surgeon to understand.


2018 ◽  
Vol 164 (6) ◽  
pp. 414-418 ◽  
Author(s):  
Yongqiang Zhao ◽  
X Ma ◽  
Y Li ◽  
Q Fu

ObjectivesAs part of the UN peacekeeping mission in Mali, the People’s Republic of China have deployed a level 2 medical treatment facility (CHN L2). The aim of this study was to review the cases managed by the otolaryngology service within this facility.MethodsThe medical records of all patients treated by the otolaryngology service at the CHN L2 from 1 March 2015 to 1 March 2018 were retrospectively assessed.Results614/10189 (6%) of all cases seen in the hospital during this period were referred to the otolaryngology service. 7/614 cases required admission to hospital (1.14%) and 40/614 cases required surgery (6.51%). 3/40 cases requiring surgery (7.5%) were performed under general anaesthesia and 37 cases (92.5%) were under local anaesthesia. The most common surgical treatment was facial soft-tissue injury debridement and closure. Acute rhinosinusitis was the most common diagnosis, followed by acute pharyngitis and allergic rhinitis. Four patients required medical evacuation to a level 3 medical treatment facility.ConclusionsDisease non-battle injury in the form of ear disease was the most common presentation. Maxillofacial soft-tissue injury was the most common cause of traumatic injury. There were limits that the service could provide in terms of medical equipment and consumables, necessitating increased training of otolaryngologists prior to deployment.


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