scholarly journals FACIAL WOUND ASSESSMENT KIT

2021 ◽  
Vol 9 (10) ◽  
pp. 786-794
Author(s):  
Dehhaze Adil ◽  
◽  
Labbaci Rim ◽  
Daghouri Nada-Imane ◽  
Taybi Otmane ◽  
...  
Keyword(s):  
Wound Management ◽  
After Effects ◽  
Minimal Scarring ◽  
Wound Assessment ◽  
Aesthetic Sense ◽  
Facial Wound ◽  
Tissue Manipulation ◽  
The Face ◽  
Risk Areas ◽  
Facial Wounds

Facial wounds are a frequent reason for emergency room visits. The goals of laceration repair are to achieve hemostasis, avoid infection, restore function to the involved tissues, and achieve optimal cosmetic results with minimal scarring. Therefore, these cases are most appropriately managed by plastic surgeons who have a thorough knowledge of anatomy, aesthetic sense, and meticulous expertise in atraumatic tissue manipulation, combined with the surgical skill to repair any structure. You need to know what to do and what not to do : whether to suture or leave open. What local anesthesia to use and how. What equipment to use (and have it available beforehand). Whether to give antibiotic therapy and what kind. How to avoid aesthetic or functional after-effects. Which dressing to use depending on the state of the wound. This article will serve as an aid to wound management and review repair techniques for high-risk areas of the face.

213 A Novel, Cost-Effective and Convenient Model for Simulating Facial Wound Repair

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Rowe ◽  
B Rapaport ◽  
Y Al-Najjar ◽  
B Chaudhry ◽  
J Leow ◽  
...  
Keyword(s):  
Wound Repair ◽  
Cost Effective ◽  
Animal Tissue ◽  
Wound Management ◽  
Local Flaps ◽  
Surgical Trainees ◽  
Facial Wound ◽  
Facial Wounds ◽  
Synthetic Simulation ◽  
Convenient Model

Abstract Introduction We describe the use of a novel synthetic simulation pad for learning complex facial wound management including local flaps. The simulation pad is a cost effective and convenient model of facial wounds. We have compared the use of animal tissue to the simulation pad in the context of a workshop for surgical trainees and collected feedback from delegates. Methods Feedback was collected from 14 of 16 attending delegates. Results It was clear from feedback that animal tissue is not an ideal model of facial wounds with 71% of delegates stating that they did not consider it to be high-fidelity. The synthetic pad was rated more favourably with 100% of delegates reporting that it was a valuable exercise and well designed for local flaps. Conclusions It is imperative that training opportunities are high quality and useful to clinical practice. Techniques learnt in the context of a course or workshop are more valuable where targeted practice may occur following learning. The use of a synthetic pad is more amenable to continued practice where it may be taken home following a workshop. Feedback from this event suggests a well-designed synthetic pad is more useful than animal tissue in learning local flaps.

Maxillofacial Bony Considerations in Facial Transplantation

2021 ◽  
Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy
Keyword(s):  
Soft Tissue ◽  
Current Literature ◽  
Preoperative Planning ◽  
Surgical Anatomy ◽  
The Past ◽  
Facial Transplantation ◽  
Tissue Transfer ◽  
Reconstructive Ladder ◽  
The Face ◽  
Facial Wounds

AbstractAlloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.

scholarly journals Wounds: an overlooked burden (Part 1) – effective wound management starts with proper wound assessment

2020 ◽  
pp. 196-198
Author(s):  
H Parkar ◽  
AD Cromarty
Keyword(s):  
Wound Healing ◽  
General Practice ◽  
Healthcare Professionals ◽  
Chronic Wound ◽  
Treatment Strategies ◽  
Daily Basis ◽  
Wound Management ◽  
Wound Treatment ◽  
Wound Assessment ◽  
Wound Type

Healthcare professionals in general practice are tasked with treatment and management of wounds on a daily basis. The prognoses of these wounds are directly affected by the ability of the clinician to assess these wounds according to several parameters, including the wound type and the features which determine whether a wound is acute or transforming to a chronic wound. This can be achieved by proper and continuous wound assessment, which should guide wound treatment strategies to ensure optimal wound healing and prevent progression to complicated wounds.

Chronic wounds: the challenges of appropriate management

2019 ◽  
Vol 24 (Sup9) ◽  
pp. S26-S32 ◽  
Author(s):  
Leanne Atkin
Keyword(s):  
Wound Healing ◽  
Health Services ◽  
Chronic Wounds ◽  
Chronic Wound ◽  
Wound Management ◽  
Product Selection ◽  
Wound Assessment ◽  
Moisture Balance ◽  
Selection For ◽  
Chronic Wound Management

The immense burden imposed by chronic wounds—those persisting over 6 weeks despite active intervention—on patients and health services is well recognised. There are various reasons for why a wound fails to progress towards closure, and clinicians must investigate the underlying cause of wound chronicity, as this information guides the management of such wounds. The TIME framework (T=tissue; I=infection/inflammation; M=moisture balance; E=wound edges) is a useful tool for practitioners to systematically undertake wound assessment and product selection. This article discusses chronic wound management based on the TIME framework, examining the aspects to be considered when managing chronic wounds. It also describes the process of dressing selection for overcoming the various barriers to wound healing, specifically discussing the AQUACEL family of dressings.

Facial Wound Management

2013 ◽  
Vol 31 (2) ◽  
pp. 529-538 ◽  
Author(s):  
Frank Sabatino ◽  
Joshua B. Moskovitz
Keyword(s):  
Wound Management ◽  
Facial Wound

Mammalian and Reptile Bites

2016 ◽  
Author(s):  
David Scordino ◽  
Susan Peterson
Keyword(s):  
Morbidity And Mortality ◽  
Wound Management ◽  
Bite Wound ◽  
Wound Irrigation ◽  
Vascular Area ◽  
The Face ◽  
Bite Wounds

Bites from animals and humans can result in significant infections, morbidity, and mortality if not managed well. Individuals who are unable to provide an adequate history or who are unaware of if they were bitten or scratched require skin evaluation that may show puncture wounds, suggesting a bite, or simple scrapes, suggesting a scratch. A thorough exam of the bite for evidence of contamination or infection as well as the location and type of wound is critical for wound management, follow-up, and disposition. Treatment includes addressing the patient’s airway, breathing, and circulation; wound irrigation and management as well as tetanus prophylaxis should be provided because the skin has been broken. In general, bite wounds should not be closed unless the bite wound is in a highly vascular area such as the face.

scholarly journals Case Report: Surgical Treatment of Severe Facial Wounds and Proptosis in a Dog Due to a Traffic Accident

2020 ◽  
Vol 7 ◽  
Author(s):  
Jury Kim ◽  
Daesik Kim ◽  
Janghwan Kim ◽  
Daeyun Seo ◽  
Hyejin Hwang ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Rectus Muscle ◽  
Middle Part ◽  
Pars Intermedia ◽  
Skin Defects ◽  
Partial Transposition ◽  
The Face ◽  
Good Cosmetic ◽  
Facial Wounds ◽  
Intestinal Submucosa

Although facial wounds caused by traffic accidents in dogs are common, the surgical management of severe facial injuries involving the soft tissue, bone, dentition, nose and orbit are challenging. A 2 year-old Korean Jindo dog was diagnosed with severe skin defects of the face and proptosis caused by a vehicular accident. Along the left lateral maxilla, severe injury involving the overlying skin and platysma muscle occurred, to the extent that the middle part of the sphincter colli profundus pars intermedia muscle was exposed. Repair surgeries of the skin defects and globe displacement were performed using a local subdermal plexus rotation flap and a partial transposition of the dorsal rectus muscle combined with small intestinal submucosa (SIS) instead of enucleation as the first attempt. SIS was used to sustain the torn medial region. In this case, the surgery resulted in good cosmetic and functional outcome in the dog, despite the atypical complexities upon presentation.

Wound Management

2015 ◽  
Author(s):  
Jennifer Starling ◽  
Jay Lemery
Keyword(s):  
Primary Closure ◽  
The Body ◽  
Tissue Adhesive ◽  
Wound Management ◽  
Skin Closure ◽  
Tissue Preparation ◽  
Anatomic Site ◽  
Wound Assessment ◽  
Vertical Mattress ◽  
Time Of Presentation

The primary purpose of wound management is to create an optimal environment for the body to form an aesthetically pleasing and functional scar. The majority of wounds are treated with primary closure (ie, closure at the time of presentation). This review discusses the essential steps of laceration management, including patient and wound assessment, tissue preparation, decontamination and débridement, techniques of skin closure, and wound aftercare. This is presented as assessment and stabilization, treatment and disposition, and outcomes of wound management. Figures include illustrations of the anatomy of the skin and an ear field block; illustrations of multiple techniques (simple suture, running suture, horizontal and vertical mattress, deep dermal suture, and tissue adhesive); and photographs showing examples of the stapling technique and the tissue adhesive combined with surgical tape technique. Tables list tetanus prophylaxis recommendations, summaries of the commonly used local anesthetics, suture characteristics, wounds recommended for specialist consultation, and suture removal times based on the anatomic site. This review contains 9 highly rendered figures, 5 tables, and 149 references.

Aesthetic Recontouring of the Midfacial Skeleton: A Regional Approach

1988 ◽  
Vol 5 (2) ◽  
pp. 83-88
Author(s):  
Vincent C. Giampapa
Keyword(s):  
Local Anesthesia ◽  
Facial Skeleton ◽  
Regional Approach ◽  
The Past ◽  
Implant Placement ◽  
Aesthetic Sense ◽  
The Face ◽  
Bony Anatomy ◽  
The Aesthetic

Aesthetic facial skeleton recontouring, whether done for traumatic, congenital, or aesthetic indications, is gaining in popularity. In the past, its success has largely depended upon the aesthetic sense of the surgeon. Through the use of cadaver dissections, the underlying bony anatomy of the midface was studied and subsequently divided into three distinct regions. The contribution of each of these regions of the midface to the oblique and frontal profiles is described. With utilization of moulages taken from the surface of skulls in these regions, anatomically contoured implants were designed. To facilitate clinical implant placement and symmetry, skin markings employing superficial landmarks of the face are described. The standard blepharoplasty incision for subperiosteal placement of the regional implants is detailed, and the benefits of this technique over previously described routes of insertion are discussed. A total of 73 malarplasties in 35 patients have been performed in a period of more than 4 years. Surgery is easily done under local anesthesia either alone or in conjunction with rhinoplasty, blepharoplasty, or rhytidectomy.

L Scar in Reduction Mammaplasty with Dermal Brassiere

1997 ◽  
Vol 14 (4) ◽  
pp. 417-426 ◽  
Author(s):  
Ermete De Longis
Keyword(s):  
Reduction Mammaplasty ◽  
Surgical Correction ◽  
Vertical Scar ◽  
Inferior Pole ◽  
Minimal Scarring ◽  
Aesthetic Sense ◽  
Hypertrophic Breast ◽  
New Form ◽  
The Aesthetic ◽  
Type Of Surgery

In the surgical correction of a ptotic or hypertrophic breast (mastopexy, reduction mammaplasty) the preference for one technique is associated with the choice and experience of the surgeon. The decision as to the type of surgery depends on the anatomic nature, the degree of ptosis, the age of the patient, and, above all, the aesthetic sense of the surgeon. The improvement that the surgeon obtains in shape, volume, and position of the breast must not be compromised by prominent and nonaesthetic scars that alter the final result. Today in mammaplasty, the goal of most surgeons is to give the breast new form, volume, and durable shape with minimal scarring. Starting from these considerations, the author prefers the techniques that involve a vertical or an L scar, which avoid incisions in the so-called hypertrophic areas of the chest (medial and lateral extremities of the submammary fold). The author has used a modification of the Arie technique since 1984 for marked ptosis and hypertrophy. The technique shortens and transforms the long vertical scar into an L-shaped limited scar. The method is based on nipple-areola transposition on a wide superior flap in the new predetermined side (supraareolar dermopexy). The skin of the inferior pole of the breast is deepithelialized to form an inferior dermal or dermo glandular flap for retropectoral dermopexy (dermal brassiere). This flap gives stability to the breast and makes it more durable.

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