Semin Plast Surg 2010; 24(4): 348-356
DOI: 10.1055/s-0030-1269764
© Thieme Medical Publishers

Facial Soft Tissue Trauma

James D. Kretlow1 , Aisha J. McKnight1 , Shayan A. Izaddoost1
  • 1Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
Further Information

Publication History

Publication Date:
29 December 2010 (online)

ABSTRACT

Traumatic facial soft tissue injuries are commonly encountered in the emergency department by plastic surgeons and other providers. Although rarely life-threatening, the treatment of these injuries can be complex and may have significant impact on the patient's facial function and aesthetics. This article provides a review of the relevant literature related to this topic and describes the authors' approach to the evaluation and management of the patient with facial soft tissue injuries.

REFERENCES

  • 1 Hussain K, Wijetunge D B, Grubnic S, Jackson I T. A comprehensive analysis of craniofacial trauma.  J Trauma. 1994;  36 34-47
  • 2 Mitchener T A, Canham-Chervak M. Oral-maxillofacial injury surveillance in the Department of Defense, 1996-2005.  Am J Prev Med. 2010;  38 (1, Suppl) S86-S93
  • 3 Ong T K, Dudley M. Craniofacial trauma presenting at an adult accident and emergency department with an emphasis on soft tissue injuries.  Injury. 1999;  30 357-363
  • 4 Key S J, Thomas D W, Shepherd J P. The management of soft tissue facial wounds.  Br J Oral Maxillofac Surg. 1995;  33 76-85
  • 5 Chang L T, Tsai M C. Craniofacial injuries from slip, trip, and fall accidents of children.  J Trauma. 2007;  63 70-74
  • 6 Eggensperger Wymann N M, Hölzle A, Zachariou Z, Iizuka T. Pediatric craniofacial trauma.  J Oral Maxillofac Surg. 2008;  66 58-64
  • 7 Le B T, Dierks E J, Ueeck B A, Homer L D, Potter B F. Maxillofacial injuries associated with domestic violence.  J Oral Maxillofac Surg. 2001;  59 1277-1283; discussion 1283–1284
  • 8 Hogg N J, Stewart T C, Armstrong J E, Girotti M J. Epidemiology of maxillofacial injuries at trauma hospitals in Ontario, Canada, between 1992 and 1997.  J Trauma. 2000;  49 425-432
  • 9 Holmgren E P, Bagheri S, Bell R B, Bobek S, Dierks E J. Utilization of tracheostomy in craniomaxillofacial trauma at a level-1 trauma center.  J Oral Maxillofac Surg. 2007;  65 2005-2010
  • 10 Ono K, Wada K, Takahara T, Shirotani T. Indications for computed tomography in patients with mild head injury.  Neurol Med Chir (Tokyo). 2007;  47 291-297; discussion 297–298
  • 11 Simon B, Letourneau P, Vitorino E, McCall J. Pediatric minor head trauma: indications for computed tomographic scanning revisited.  J Trauma. 2001;  51 231-237; discussion 237–238
  • 12 Dickinson J T, Jaquiss G W, Thompson J N. Soft tissue trauma.  Otolaryngol Clin North Am. 1976;  9 331-360
  • 13 Denny A D, Bonawitz S C. Clostridial infection following severe facial trauma.  Ann Plast Surg. 1994;  33 313-316
  • 14 Jayamanne D G, Bell R W, Allen E D. Orbital cellulitis—an unusual presentation and late complication of severe facial trauma.  Br J Oral Maxillofac Surg. 1994;  32 187-189
  • 15 Thomas J R, Frost T W. Immediate versus delayed repair of skin defects following resection of carcinoma.  Otolaryngol Clin North Am. 1993;  26 203-213
  • 16 Benzil D L, Robotti E, Dagi T F, Sullivan P, Bevivino J R, Knuckey N W. Early single-stage repair of complex craniofacial trauma.  Neurosurgery. 1992;  30 166-171; discussion 171–172
  • 17 Aveta A, Casati P. Soft tissue injuries of the face: early aesthetic reconstruction in polytrauma patients.  Ann Ital Chir. 2008;  79 415-417
  • 18 Peterson A F, Rosenberg A, Alatary S D. Comparative evaluation of surgical scrub preparations.  Surg Gynecol Obstet. 1978;  146 63-65
  • 19 Paulson D S. Comparative evaluation of five surgical hand scrub preparations.  AORN J. 1994;  60 246 249-256
  • 20 Hollander J E, Richman P B, Werblud M, Miller T, Huggler J, Singer A J. Irrigation in facial and scalp lacerations: does it alter outcome?.  Ann Emerg Med. 1998;  31 73-77
  • 21 Osmond M H, Klassen T P, Quinn J V. Economic comparison of a tissue adhesive and suturing in the repair of pediatric facial lacerations.  J Pediatr. 1995;  126 892-895
  • 22 Göktas N, Karcioglu O, Coskun F, Karaduman S, Menderes A. Comparison of tissue adhesive and suturing in the repair of lacerations in the emergency department.  Eur J Emerg Med. 2002;  9 155-158
  • 23 Simon H K, Zempsky W T, Bruns T B, Sullivan K M. Lacerations against Langer's lines: to glue or suture?.  J Emerg Med. 1998;  16 185-189
  • 24 Berthe J V, Pelc P, Jortay A, Coessens B C. Do multiple consecutive head and neck reconstructions improve the patients functional outcome?.  Acta Otorhinolaryngol Belg. 2002;  56 391-397
  • 25 Motamedi M H. Primary management of maxillofacial hard and soft tissue gunshot and shrapnel injuries.  J Oral Maxillofac Surg. 2003;  61 1390-1398
  • 26 Hollier L, Grantcharova E P, Kattash M. Facial gunshot wounds: a 4-year experience.  J Oral Maxillofac Surg. 2001;  59 277-282
  • 27 Stanley Jr R B, Schwartz M S. Immediate reconstruction of contaminated central craniofacial injuries with free autogenous grafts.  Laryngoscope. 1989;  99 (10 Pt 1) 1011-1015
  • 28 Kaufman Y, Cole P, Hollier L. Contemporary issues in facial gunshot wound management.  J Craniofac Surg. 2008;  19 421-427
  • 29 Tan O, Kantarci M, Parmaksizoglu D, Uyanik U, Durur I. Determination of the recipient vessels in the head and neck using multislice spiral computed tomography angiography before free flap surgery: a preliminary study.  J Craniofac Surg. 2007;  18 1284-1289
  • 30 Nagler R M, Braun J, Daitzman M, Laufer D. Spiral CT angiography: an alternative vascular evaluation technique for head and neck microvascular reconstruction.  Plast Reconstr Surg. 1997;  100 1697-1702
  • 31 Haddock N T, Weichman K E, Reformat D D, Kligman B E, Levine J P, Saadeh P B. Lower extremity arterial injury patterns and reconstructive outcomes in patients with severe lower extremity trauma: a 26-year review.  J Am Coll Surg. 2010;  210 66-72
  • 32 Duymaz A, Karabekmez F E, Vrtiska T J, Mardini S, Moran S L. Free tissue transfer for lower extremity reconstruction: a study of the role of computed angiography in the planning of free tissue transfer in the posttraumatic setting.  Plast Reconstr Surg. 2009;  124 523-529
  • 33 Seitz I A, Gottlieb L J. Reconstruction of scalp and forehead defects.  Clin Plast Surg. 2009;  36 355-377
  • 34 Steffen A, Katzbach R, Klaiber S. A comparison of ear reattachment methods: a review of 25 years since Pennington.  Plast Reconstr Surg. 2006;  118 1358-1364
  • 35 Saad Ibrahim S M, Zidan A, Madani S. Totally avulsed ear: new technique of immediate ear reconstruction.  J Plast Reconstr Aesthet Surg. 2008;  61 (Suppl 1) S29-S36
  • 36 Spinelli H M, Jelks G W. Periocular reconstruction: a systematic approach.  Plast Reconstr Surg. 1993;  91 1017-1024; discussion 1025–1026
  • 37 Kroll D M. Management and reconstruction of periocular malignancies.  Facial Plast Surg. 2007;  23 181-189
  • 38 Thai K N, Billmire D A, Yakuboff K P. Total eyelid reconstruction with free dorsalis pedis flap after deep facial burn.  Plast Reconstr Surg. 1999;  104 1048-1051
  • 39 Ueda K, Oba S, Okada M, Hara M, Zen N. Eyelid reconstruction with a composite radial forearm palmaris longus tendon flap.  J Plast Reconstr Aesthet Surg. 2007;  60 256-259
  • 40 Rubino C, Farace F, Puddu A, Canu V, Posadinu M A. Total upper and lower eyelid replacement following thermal burn using an ALT flap—a case report.  J Plast Reconstr Aesthet Surg. 2008;  61 578-581
  • 41 Parrett B M, Pribaz J J. An algorithm for treatment of nasal defects.  Clin Plast Surg. 2009;  36 407-420
  • 42 Bayramiçli M. A new classification system and an algorithm for the reconstruction of nasal defects.  J Plast Reconstr Aesthet Surg. 2006;  59 1222-1232
  • 43 Guo L, Pribaz J R, Pribaz J J. Nasal reconstruction with local flaps: a simple algorithm for management of small defects.  Plast Reconstr Surg. 2008;  122 130e-139e
  • 44 Rohrich R J, Griffin J R, Ansari M, Beran S J, Potter J K. Nasal reconstruction—beyond aesthetic subunits: a 15-year review of 1334 cases.  Plast Reconstr Surg. 2004;  114 1405-1416; discussion 1417–1419
  • 45 Futran N D, Farwell D G, Smith R B, Johnson P E, Funk G F. Definitive management of severe facial trauma utilizing free tissue transfer.  Otolaryngol Head Neck Surg. 2005;  132 75-85
  • 46 McLean J N, Moore C E, Yellin S A. Gunshot wounds to the face—acute management.  Facial Plast Surg. 2005;  21 191-198
  • 47 Lewis G, Knottenbelt J D. Parotid duct injury: is immediate surgical repair necessary?.  Injury. 1991;  22 407-409

Shayan A IzaddoostM.D. Ph.D. 

Division of Plastic Surgery, Baylor College of Medicine

6624 Fannin, Suite 2260, Houston, TX 77030

Email: shayani@bcm.edu

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