J Korean Med Assoc Search

CLOSE


J Korean Med Assoc > Volume 61(12); 2018 > Article
Journal of the Korean Medical Association 2018;61(12):724-731.
Published online December 19, 2018.
DOI: https://doi.org/10.5124/jkma.2018.61.12.724   
Microsurgical reconstruction of posttraumatic large soft tissue defects on face
Wooyeol Baek, Seung Yong Song, Tai Suk Roh, Won Jai Lee
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea. pswjlee@yuhs.ac
Abstract
Our faces can express a remarkable range of subtle emotions and silent messages. Because the face is so essential for complex social interactions that are part of our everyday lives, aesthetic repair and restoration of function are an important tasks that we must not take lightly. Soft-tissue defects occur in trauma patients and require thorough evaluation, planning, and surgical treatment to achieve optimal functional and aesthetic outcomes, while minimizing the risk of complications. Recognizing the full nature of the injury and developing a logical treatment plan help determine whether there will be future aesthetic or functional deformities. Proper classification of the wound enables appropriate treatment, and helps predict the postoperative appearance and function. Comprehensive care of trauma patients requires a diverse breadth of skills, beginning with an initial evaluation, followed by resuscitation. Traditionally, facial defects have been managed with closure or grafting, and prosthetic obturators. Sometimes, however, large defects cannot be closed using simple methods. Such cases, which involve exposure of critical structures, bone, joint spaces, and neurovascular structures, requires more complex treatment. We reviewed and classified causes of significant trauma resulting in facial injuries that were reconstructed by microsurgical techniques without simple sutures or coverage with partial flaps. A local flap is a good choice for reconstruction, but large defects are hard to cover with a local flap alone. Early microsurgical reconstruction of a large facial defect is an excellent choice for aesthetic and functional outcomes.
Key Words: Facial Injuries, Wounds and injuries, Surgery, plastic, Microsurgery
 
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 0 Crossref
  • 1 Scopus
  • 814 View
  • 8 Download
Related articles in
J Korean Med Assoc

Delayed reconstruction of posttraumatic facial deformities2018 December;61(12)



ABOUT
ARTICLE CATEGORY

Browse all articles >

ARCHIVES
FOR CONTRIBUTORS
Editorial Office
37 Ichon-ro 46-gil, Yongsan-gu, Seoul
Tel: +82-2-6350-6562    Fax: +82-2-792-5208    E-mail: jkmamaster@gmail.com                

Copyright © 2023 by Korean Medical Association.

Developed in M2PI

Close layer
prev next