Department of Otolaryngology, Head and Neck Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
Office of Health Equity, Diversity and Inclusion, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
Facial Plast Surg. 2021 Aug;37(4):424-431. doi: 10.1055/s-0041-1727247. Epub 2021 May 14.
Soft 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.
面部软组织创伤由于功能和美观方面的问题,处理起来颇具挑战。处理时需要仔细考虑区域问题,分别维护眶周和口周损伤的视觉和口腔功能。基本的伤口处理原则适用于面部软组织损伤,包括充分冲洗和无张力缝合。对于抗生素预防,特别是各种咬伤,目前尚无共识和高级别的证据。本文简要回顾了弹道伤和其他机制。软组织损伤的瘢痕修复可能需要多次手术和干预。手术以及办公室程序,如激光磨皮,可以采用,本文也将进行讨论。