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

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.

Mechanisms of Soft Tissue Injury

2021 ◽  
Author(s):  
Oneida A. Arosarena ◽  
Issam N. Eid
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Visual Fields ◽  
Soft Tissue Injury ◽  
Soft Tissue Injuries ◽  
Wound Management ◽  
Facial Soft Tissue ◽  
Tissue Injuries ◽  
Free Closure ◽  
High Level

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.

Primary Repair of Soft Tissue Facial Trauma

2020 ◽  
Author(s):  
Michelle Seu ◽  
Amir H. Dorafshar ◽  
Fan Liang
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Primary Repair ◽  
Soft Tissue Injury ◽  
Facial Trauma ◽  
Facial Soft Tissue ◽  
The Face ◽  
Craniofacial Trauma ◽  
Facial Anatomy ◽  
Tissue Defects

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

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

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.

Facial Soft Tissue Injury and Healing

2021 ◽  
Vol 37 (04) ◽  
pp. 415-415
Author(s):  
Sydney C. Butts
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Facial Soft Tissue

scholarly journals Challenges encountered during the management of pediatric facial soft tissue injury from a mobile battery blast: A case report

2021 ◽  
Author(s):  
Rikta Pande ◽  
Bandana Koirala ◽  
Mehul Jaisani ◽  
Chandrakant Pasvan
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Conservative Management ◽  
Tissue Injury ◽  
Case Reports ◽  
Soft Tissue Injury ◽  
Facial Soft Tissue ◽  
Aesthetic Unit ◽  
Parotid Duct

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.

scholarly journals An Overview of Facial and Head and Neck Trauma at Patan Hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 15-19
Author(s):  
Namita Shrestha ◽  
Bhawana Dangol ◽  
Ishwor Raj Devkota ◽  
Ajit Nepal ◽  
Deepak Yadav ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Oral Cavity ◽  
Head And Neck ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
X Rays ◽  
Neck Trauma ◽  
Facial Soft Tissue ◽  
Common Mode ◽  
Head And Neck Trauma

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 

Intensive, Extensive, Expensive: Management of Distal Limb Shearing Injuries in Cats

2009 ◽  
Vol 11 (9) ◽  
pp. 747-757 ◽  
Author(s):  
Sandra Corr
Keyword(s):  
Soft Tissue ◽  
Traffic Accidents ◽  
Soft Tissues ◽  
Road Traffic ◽  
Skin Grafting ◽  
Soft Tissue Injuries ◽  
Wound Management ◽  
Prolonged Treatment ◽  
Distal Limb ◽  
Superficial Skin

Practical relevance Cats often present with distal limb shearing injuries as a result of road traffic accidents (RTAs). Many apparently unsalvageable limbs can be saved through intensive and appropriate early treatment if the basic principles of good wound management are followed. Clinical challenges When a limb is crushed under the wheel of a car, the skin, soft tissues and bone can be injured in a variety of ways, and the wounds are invariably heavily contaminated. Management of such cases is intensive, extensive and expensive. As well as the client's financial constraints, the ethics of prolonged treatment versus the alternative of amputation should be carefully considered. This article reviews the priorities for managing these cases, and presents a logical approach for achieving optimal outcomes. Patient group Any cat allowed access to the outdoors is potentially at risk of sustaining RTA injuries, young cats particularly so. Evidence base Many textbooks and original articles have been published on aspects of managing soft tissue injuries and skin grafting. To the author's knowledge, only two peer-reviewed papers have dealt specifically with shearing injuries, both presenting a retrospective analysis of cases in dogs. The prognosis is rarely determined by the extent of superficial skin loss, but rather by the underlying soft tissue and bone damage.

scholarly journals “Fixator-assisted Nailing” Technique for Closed Segmental Tibia Shaft Fracture with Extensive Soft Tissue Injury – A Case Report

2021 ◽  
Vol 11 (8) ◽  
Author(s):  
Vivek M Sodhai ◽  
Chetan V Pradhan ◽  
Parag K Sancheti ◽  
Ashok K Shyam
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Internal Fixation ◽  
External Fixator ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Treatment Strategies ◽  
Soft Tissue Injuries ◽  
Definitive Treatment

Introduction: Segmental tibia fractures with extensive soft tissue injuries are rare and surgical intervention is challenging with no definitive treatment strategies. Case Report: A 52-year-old man presented with closed right segmental tibia and fibula fracture with extensive blistering of skin caused due to road traffic accident. Distal pulses were palpable and there were no signs of compartment syndrome and other systemic injuries. In the presence of extensive blistering, a monoplanar external fixator was applied within 24 h of injury. 3 weeks later, skin condition was conducive for internal fixation, and closed intramedullary multi-locking nailing was performed using the external fixator for reduction. Fracture healed at 15 months and patient had an excellent functional outcome with full knee range of motion at 2-years follow-up without any complications. Conclusion: Fixator-assisted nailing is a simple, minimally invasive, and easily reproducible technique that is useful in reducing the fracture and preventing axial rotation of the intercalary segment minimizing the damage to the periosteal blood supply. Our case also highlights the importance of temporary external fixator in soft tissue healing and making the skin conducive for internal fixation. Keywords: Devascularization, fixator-assisted nailing, intercalary segment, rotational displacement, segmental tibial fracture.

scholarly journals A study on faciomaxillary injuries in a tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2450
Author(s):  
Ravikumar G. ◽  
. Manoharan ◽  
Sugapradha G. R.
Keyword(s):  
Soft Tissue ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Soft Tissue Injuries ◽  
Treatment Modalities ◽  
Road Traffic Accidents ◽  
The People ◽  
Human Bites ◽  
The Face ◽  
Tissue Injuries

Background: Faciomaxillary injuries are increasing in frequency and severity due to road traffic accidents and violence among the people of the delta districts of Tamilnadu. Alcohol plays a major role both in road traffic accidents and assaults resulting in faciomaxillary injuries. Human bites play a significant role in the soft tissue injuries of the face resulting in loss of lobule of ear, nasal tip loss and partial loss of lower lip. The purpose of this study was to evaluate the aetiology, incidence, patterns and treatment modalities of faciomaxillary injuries which include both soft tissue and bony injuries.Methods: The study was conducted in the Department of Plastic and Reconstructive Surgery of Thanjavur Medical College, Tamil Nadu, India between 2012-2015. About 850 patients in and around the delta districts of Tamilnadu admitted with various soft tissue and bony injuries of the faciomaxillary region were studied. Age, sex, time, mechanism and aetiology of injury, history of bleeding, unconsciousness and prior first aid, type of vehicle and use of preventive measures, type of fracture, associated injuries and treatment modalities were evaluated.Results: Faciomaxillary injuries were mostly due to road traffic accidents. Highest number of fractures was predominantly occurring in the age group of 21-30 years. Males incurred more fractures with a male to female ratio of 7.4:1.1. Fracture mandible was the most common followed by zygoma, nasal and naso ethmoid fractures. Pan facial fractures were more common among alcoholics. 28 patients had associated head injury and 14 patients had cervical spine injuries. Open reduction and internal fixation was the preferred modality for mandible whereas the mid face fractures were treated more often by closed methods. Soft tissue injuries involving ear, nose, lip and eyelids were more common.Conclusions: Drunken driving should be curbed in the society. Educating the people about road safety rules will bring down the faciomaxillary injuries. Motivating the public against violence will reduce human bites and soft tissue injuries of the face. 

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