J Korean Med Assoc.  2018 Dec;61(12):715-723. 10.5124/jkma.2018.61.12.715.

Aesthetic soft tissue management in facial trauma

• Chung KJ
• Kim TG
• Lee JH

• KMID: 2429335
• DOI: http://doi.org/10.5124/jkma.2018.61.12.715

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.

Keyword

Face; Wounds and injuries; Soft tissues; Therapy

MeSH Terms

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
Silicon
Silicones

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