Tower Irene, Lasko Leslie-Ann, Kathju Sandeep
Department of Surgery, Allegheny General Hospital, Pittsburgh, PA 15212, USA.
J Oral Maxillofac Surg. 2010 Apr;68(4):751-5. doi: 10.1016/j.joms.2009.09.026. Epub 2009 Dec 30.
To investigate the nature of surgical revision procedures necessitated by cicatricial complications of facial injury.
All patients who had facial trauma in a period of approximately 5 years managed by a single surgeon were reviewed. Of these, 36 were found to have undergone secondary revision procedures arising specifically from scar-related complications.
The average age of patients undergoing revision surgery was 34 years; 27 of the 36 patients (75%) were men, and 9 of the 36 (25%) required multiple revision surgical visits. The most common cause of injury was motor vehicle collision; the interval between the initial trauma and the first revision surgery was most commonly 6 to 12 months. Scar-related complications were categorized on the face by anatomic subsite; they occurred most frequently on the forehead/cheeks/chin area, with the eyes/periorbital area the second most frequent location. One hundred twelve discrete surgical procedures (as per current procedural terminology) were performed on these 36 patients to address the cicatricial sequelae of their initial injuries.
Facial trauma can frequently entail secondary morbidity in the form of facial scar deposition, which itself can necessitate surgical repair. This represents a substantial but as yet underappreciated health care burden attendant to maxillofacial injury.
探讨面部损伤瘢痕并发症所必需的手术修复程序的性质。
回顾了由一位外科医生在大约5年时间内治疗的所有面部创伤患者。其中，36例患者因瘢痕相关并发症接受了二次修复手术。
接受修复手术的患者平均年龄为34岁；36例患者中有27例（75%）为男性，36例中有9例（25%）需要多次修复手术就诊。最常见的受伤原因是机动车碰撞；初次创伤与首次修复手术之间的间隔最常见为6至12个月。瘢痕相关并发症按面部解剖亚部位分类；它们最常发生在前额/脸颊/下巴区域，眼睛/眶周区域是第二常见的部位。对这36例患者进行了112项离散的手术程序（按照当前手术术语），以处理其初次损伤的瘢痕后遗症。
面部创伤常常会导致以面部瘢痕沉积形式出现的继发性发病，而瘢痕本身可能需要手术修复。这代表了颌面损伤所带来的一项重大但尚未得到充分认识的医疗负担。
