Vaishnavi V, Shetty Monisha J, Shekhar Adarsh R, Shetty Nandesh
Department of Oral and Maxillofacial Surgery, AJ Institute of Dental Sciences, Mangalore, IND.
Cureus. 2024 May 7;16(5):e59777. doi: 10.7759/cureus.59777. eCollection 2024 May.
Managing gross maxillofacial injuries poses significant challenges due to potential complications such as airway obstruction, cervical spine injuries, and damage to cranial structures. The resultant deformities from these injuries can have enduring psychological effects, which, if left unaddressed, can be devastating. This report outlines an approach for a patient with a history of a bull gore injury wherein a 49-year-old male presented to the Department of Oral and Maxillofacial Surgery, reporting an alleged animal attack. The patient had experienced avulsion of the left eye and degloving injuries affecting the lower eyelids, nose, left cheek, and upper and lower lips, along with skin over the chin, coupled with a left zygomaticomaxillary complex fracture. Subsequently, a comprehensive single-stage primary reconstruction and repair procedure was performed. Immediate single-stage reconstruction has shown success in achieving excellent functional and aesthetic outcomes. Preserving original tissue during debridement is crucial in preventing infection and minimizing flap loss.
由于存在气道阻塞、颈椎损伤和颅骨结构损伤等潜在并发症，处理严重的颌面损伤面临重大挑战。这些损伤导致的畸形可能会产生持久的心理影响，若不加以解决，后果可能是毁灭性的。本报告概述了一名有公牛刺伤史患者的治疗方法，一名49岁男性前往口腔颌面外科就诊，称遭到动物袭击。患者左眼撕脱，下眼睑、鼻子、左脸颊以及上、下唇连同下巴皮肤出现脱套伤，同时伴有左侧颧骨上颌骨复合体骨折。随后，进行了全面的一期原发重建和修复手术。即刻一期重建已成功实现了出色的功能和美学效果。清创时保留原始组织对于预防感染和减少皮瓣丢失至关重要。
