Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
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Aesthetic soft tissue management in facial trauma

안면 외상에서 연부조직 치료에 있어 미용적 재건

  • Chung, Kyu Jin (Department of Plastic & Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Kim, Tae Gon (Department of Plastic & Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Lee, Jin Ho (Department of Plastic & Reconstructive Surgery, Yeungnam University College of Medicine)
  • 정규진 (영남대학교 의과대학 성형외과학교실) ;
  • 김태곤 (영남대학교 의과대학 성형외과학교실) ;
  • 이진호 (영남대학교 의과대학 성형외과학교실)
  • Received : 2018.11.21
  • Accepted : 2018.12.05
  • Published : 2018.12.20
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Abstract

Facial soft tissue injury due to trauma is common. Severe damage of soft tissue causes functional and cosmetic problems. In the initial evaluation of patients with facial trauma, airway maintenance and respiratory maintenance are the most important. The principles of treatment include adequate irrigation and debridement, primary closure, or secondary wound healing. Postoperative care such as taping, silicone gel sheeting, and sun screening is important to prevent scarring. The scalp and forehead are abundant in blood and can cause severe bleeding. The eyelid is very thin and has a multi-layered structure, requiring accurate suturing and reconstruction of the layers. It is advisable to determine the presence of hematoma in the ear and treat it. When the cheek area is damaged, it is necessary to identify and treat the damage of the parotid gland and the facial nerve branch. The lips should be sewn with the white roll of lip and vermillion.

Keywords

References

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