1,813 results match your criteria Facial Soft Tissue Injuries


Dental Management of Maxillofacial Ballistic Trauma.

J Pers Med 2022 Jun 5;12(6). Epub 2022 Jun 5.

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy.

Maxillofacial ballistic trauma represents a devastating functional and aesthetic trauma. The extensive damage to soft and hard tissue is unpredictable, and because of the diversity and the complexity of these traumas, a systematic algorithm is essential. This study attempts to define the best management of maxillofacial ballistic injuries and to describe a standardized, surgical and prosthetic rehabilitation protocol from the first emergency stage up until the complete aesthetic and functional rehabilitation. Read More

View Article and Full-Text PDF

Eyelid Reanimation with Free Platysma Graft: Final Stage of Reconstruction after Gunshot Wound to Face.

Plast Reconstr Surg Glob Open 2022 Jun 10;10(6):e4372. Epub 2022 Jun 10.

Department of Plastic Surgery, Beaumont Health Systems, Royal Oak, Mich.

Patients with gunshot wounds to the face have massive soft tissue and bony damage from projectile and blast injuries. They often require multiple, staged reconstructive surgeries with cross-facial nerve grafting and free muscle flap for re-establishment of facial expression. Injury to or total loss of the facial nerve and branches can result in loss of function of the orbicularis oculi muscle, which leads to the loss of protective mechanisms of eyelid function and blink reflex. Read More

View Article and Full-Text PDF

Bilateral Scapular Fractures Occurring as a Result of a First-Time Seizure.

Case Rep Emerg Med 2022 17;2022:9186275. Epub 2022 May 17.

Sparrow Health System, Department of Emergency Medicine, 1215 Michigan Ave, Lansing, Michigan 48912, USA.

The violent nature of generalized tonic-clonic seizures puts individuals at risk of a large number of potential injuries. These can occur due both to the profound muscular contractions that accompany these episodes as well as falls and other traumatic events that occur due to the period of loss of consciousness that occurs during generalized seizures. While injuries such as soft tissue contusions, tongue biting, dental injuries, and facial lacerations resulting from falls from standing predominate, bony injuries are not uncommon. Read More

View Article and Full-Text PDF

Severe Diesel Injection Injury to the Face, Neck and Orbit: Surgical Management and Critical Care Considerations.

Ophthalmic Plast Reconstr Surg 2022 May 20. Epub 2022 May 20.

Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado.

The purpose of this report is to discuss high-pressure injection injuries involving the face and orbit and discuss factors affecting prognosis and management as these injuries are rare and uniquely challenging to manage given the complex anatomy and extensive damage that may occur. In this case, we present severe injury to the left orbit, maxillofacial region, and neck of a 29-year-old male who suffered a high-pressure diesel injection injury requiring several surgical debridements, intensive care unit (ICU) level care, and ultimately sub-total exenteration. Initial management involved systemic antibiotics, steroids, and surgical debridement; however, our patient experienced subsequent rapid deterioration resulting in admission for more aggressive subspecialty intervention. Read More

View Article and Full-Text PDF

Lateral luxation: Is root resorption an unavoidable complication?

Clin Case Rep 2022 May 18;10(5):e05880. Epub 2022 May 18.

Department of Dental Medicine Hospital Sahloul Sousse Tunisia.

Lateral luxation is defined as a traumatic displacement of a tooth in any direction other than axially. A laterally luxated tooth is often immobile because of its bony lock. It produces a high metallic sound during percussion. Read More

View Article and Full-Text PDF

Imaging and Non-imaging Findings of Intimate Partner Violence on the Trauma Service: A Retrospective Analysis of Two Level 1 Trauma Centers.

Acad Radiol 2022 May 18. Epub 2022 May 18.

Department of Radiology, Division of Emergency Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02215; Department of Radiology, Trauma Imaging Research and Innovation Center, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02215. Electronic address:

Rationale And Objectives: Intimate partner violence (IPV) is a serious public health issue. This study aims to characterize IPV-related injuries in trauma patients presenting to emergency departments (ED) who required hospitalization.

Materials And Methods: Trauma registries of two Level 1 trauma centers were searched for assault-related ED visits by adults reporting "abuse" over 3 and 5 years to identify IPV victims. Read More

View Article and Full-Text PDF

Orbital in juries in wartime: Historical study from Paul Tessier's work in Iran.

J Fr Ophtalmol 2022 Jun 18;45(6):628-632. Epub 2022 May 18.

Assistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Service de chirurgie maxillo-faciale et chirurgie plastique, Université de Paris, Paris, France.

Introduction: Paul Tessier was a leading French oculoplastic surgeon who took part in several surgical missions in Iran to manage victims of the Iraq-Iran conflict in the late 1980's and early 1990's.

Methods: We collected the records of 322 patients who underwent surgical procedures for the management of wartime injuries by Paul Tessier's team in Iran from 1990 to 1993. We also report one of the most representative cases of orbital reconstruction performed by Tessier. Read More

View Article and Full-Text PDF

The New Face of War: Craniofacial Injuries from Operation Inherent Resolve.

J Trauma Acute Care Surg 2022 May 23. Epub 2022 May 23.

USA(ret), University of Southern California, Los Angeles, CA.

Introduction: During the last 20 years of conflict in the Middle East, improvements in body armor and the use of improvised explosive devices has resulted in an increased incidence of complex craniofacial trauma (CFT). Currently, CFT comprises up to 40% of all casualties. We present new data from the recent conflict in Iraq and Syria during Operation Inherent Resolve. Read More

View Article and Full-Text PDF

Traumatic hemifacial avulsion and degloving injury: a case report.

Pan Afr Med J 2022 23;41:158. Epub 2022 Feb 23.

Department of Oral and Maxillofacial Surgery, Muhimbili National Hospital, Dar es Salaam, Tanzania.

Gross maxillofacial injuries are challenging to manage because they can be complicated by airway obstruction, injuries to the cervical spine, and cranial structures. Deformities from such injuries have lasting psychological effects which if not addressed can be devastating. We present a 21-year-old male motorcyclist who was involved in a motor traffic collision and sustained avulsion and degloving of the forehead skin, left eyebrow, left upper and lower eyelids, the nose, the left cheek and part of the right cheek, upper and lower lips, and the skin overlying the chin. Read More

View Article and Full-Text PDF

Clinical and radiographic predictors of the need for facial CT in pediatric blunt trauma: a multi-institutional study.

Trauma Surg Acute Care Open 2022 24;7(1):e000899. Epub 2022 Apr 24.

Department of Radiology, University at Buffalo, Buffalo, New York, USA.

Background: Facial injuries are common in children with blunt trauma. Most are soft tissue lacerations and dental injuries readily apparent on clinical examination. Fractures requiring operative intervention are rare. Read More

View Article and Full-Text PDF

Facial injury patterns in victims of intimate partner violence.

Emerg Radiol 2022 May 3. Epub 2022 May 3.

Trauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, MA, USA.

Purpose: To evaluate the imaging findings of facial injuries in patients reporting intimate partner violence (IPV).

Methods: A retrospective review of radiology studies performed for 668 patients reporting IPV to our institution's violence prevention support program identified 96 patients with 152 facial injuries. Demographics, imaging findings, and clinical data obtained from a review of the electronic medical records (EMR) were analyzed to categorize injury patterns. Read More

View Article and Full-Text PDF

The Columellar Arteries in the Asian Nose.

Facial Plast Surg Clin North Am 2022 May;30(2):143-148

Department of Basic Medical Science, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand. Electronic address:

The morphologic characteristics of Asian nose are a short or retracted columella, an acute nasolabial angle, and deficient tip projection. Both operative rhinoplasty and filler rhinoplasty have been used to improve the columellar angle and the tip of the nose in Asia. However, the possibility that complications may occur following aesthetic interventions from the vascular compromises at the columella, for example, skin necrosis, deformity, and blindness. Read More

View Article and Full-Text PDF

Ancient but Efficient: Two Case Reports of Pedicle-Tubed Groin Flap for Soft Tissue Coverage in Upper Limb Defects.

Cureus 2022 Mar 29;14(3):e23610. Epub 2022 Mar 29.

Reconstructive Sciences Unit, Universiti Sains Malaysia (USM), Kota Bharu, MYS.

The distant tubed pedicle skin flap concept was introduced almost 100 years ago. It was previously considered the workhorse flap to reconstruct the face and upper limbs. Despite being considered an ancient reconstruction method, it is still widely used by many reconstructive surgeons. Read More

View Article and Full-Text PDF

An unusual etiology of a scrotal dog bite injury and review of the literature.

Ulus Travma Acil Cerrahi Derg 2022 Apr;28(4):549-553

Department of Plastic, Reconstructive and Aesthetic Surgery, Health and Science University, Adana City Training and Research Hospital, Adana-Turkey.

Soft tissue injuries from animal bites are encountered occasionally in rural areas, resulting from attacks by, for example, dogs, wolves, horses, donkeys, and cats. The commonly affected body parts include the face, head and neck, nose, ears, hands, arms, and legs. The traumatic exposure of the external genital organs following an animal bite is a highly rare condition. Read More

View Article and Full-Text PDF

[Clinical effects of free transplantation of expanded thoracodorsal artery perforator flaps in reconstructing cervical cicatrix contracture deformity after burns].

Zhonghua Shao Shang Za Zhi 2022 Apr;38(4):328-334

Department of Burns and Cutaneous Surgery, Burn Center of PLA, the First Affiliated Hospital of Air Force Medical University, Xi'an 710032, China.

To explore the clinical effects of free transplantation of expanded thoracodorsal artery perforator flaps in reconstructing cervical cicatrix contracture deformity after burns. A retrospective observational study was conducted. From May 2018 to April 2021, 11 patients with cervical cicatrix contracture deformity after burns who met the inclusion criteria were admitted to the First Affiliated Hospital of Air Force Medical University, including 3 males and 8 females, aged 5 to 46 years, with a course of cervical cicatrix contracture deformity of 5 months to 8 years. Read More

View Article and Full-Text PDF

[Clinical application of expanded internal mammary artery perforator flap combined with vascular supercharge in reconstruction of faciocervical scar].

Zhonghua Shao Shang Za Zhi 2022 Apr;38(4):313-320

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.

To summarize the clinical experience of expanded internal mammary artery perforator (IMAP) flap combined with vascular supercharge in reconstruction of faciocervical scar. The retrospective observational study was conducted. From September 2012 to May 2021, 23 patients with postburn or posttraumatic faciocervical scars who met the inclusion criteria were admitted to Shanghai Ninth People's Hospital of Shanghai Jiao Tong University School of Medicine, including 18 males and 5 females, aged from 11 to 58 years, all of whom were reconstructed with expanded IMAP flaps. Read More

View Article and Full-Text PDF

Are orthopaedic surgeons prepared? An analysis of severe casualties from the 2021 flash flood and mudslide disaster in Germany.

Eur J Trauma Emerg Surg 2022 Apr 15. Epub 2022 Apr 15.

Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.

Background: The purpose of this study was to describe and analyse the most severe casualties from the flash flood and mudslides occurring on 14 July 2021 in Germany, focusing on patients who were treated in the closest and largest level I trauma centre in the region the disaster occurred.

Methods: A single-centre retrospective study design was employed, and all patients treated because of the flooding and mudslides who needed inpatient treatment were documented. Data on each patient's demographic characteristics, type of injury, number of surgeries, duration of hospitalisation, operation time, revision rate, injury severity score (ISS), and complications were collected. Read More

View Article and Full-Text PDF

Does Early Treatment of Paediatric Orbital Fracture Offer Any Advantage in Terms of Post-Operative Clinical Outcomes.

J Maxillofac Oral Surg 2022 Mar 11;21(1):25-33. Epub 2021 Mar 11.

Department of Paediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005 India.

Background: Trapdoor fractures commonly occur in children below 6 years of age. The high resiliency of bone, pneumatisation of sinuses and other factors lead to entrapment of muscle and/or soft tissue which undergoes ischaemic changes leading to residual diplopia. The timing of intervention in children ranges from 24 h to greater than 2 weeks. Read More

View Article and Full-Text PDF

Reconstruction of Large Full-Thickness Abdominal Wall Defects Using a Free Functional Latissimus Dorsi Muscle.

Front Surg 2022 17;9:853639. Epub 2022 Mar 17.

Department of Plastic, Reconstructive, Hand and Burn Surgery, München Klinik Bogenhausen, Munich, Germany.

Introduction: The large full-thickness abdominal wall defect has to be treated by considering anatomical and functional requirements. The abdominal wall must regain total physiological function, which means that the full thickness abdominal wall defect must be reconstructed anatomically, not only according to the anatomical requirements but also maintaining the functional dynamic voluntary movement. Defects in the abdominal wall alter respiratory mechanics and can impair the diaphragm function. Read More

View Article and Full-Text PDF

Management of a Late Presentation of Bear Mauling with a Complex Maxillofacial Defect in a Tertiary Care Hospital - A Case Report.

Ann Maxillofac Surg 2021 Jul-Dec;11(2):359-362. Epub 2022 Feb 1.

ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Rationale: Bear mauling is the most common wild animal-inflicted injury in India. Ideally, these injuries should be managed early with fracture fixation, wound debridement, and appropriate coverage. Delay may lead to devascularization and a more severe deformity, which needs complex and multi-staged procedures for optimal outcome. Read More

View Article and Full-Text PDF
February 2022

The Association of Helmet Use with the Occurrence of Maxillofacial Injuries Following Bicycle or Scooter Accidents: A Retrospective Cohort Study.

Craniomaxillofac Trauma Reconstr 2022 Mar 3;15(1):21-27. Epub 2021 Mar 3.

Department of Oral & Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.

Study Design: Retrospective Cohort Study.

Objective: Yearly, bicycle and scooter accidents in the Netherlands amount to 90 thousand emergency department visits. Maxillofacial injuries are common after cycling or scooter accidents. Read More

View Article and Full-Text PDF

Lip Reconstruction by Double Layer and Double Flap New Combination Technique: A Case Series.

Dent J (Basel) 2022 Jan 27;10(2). Epub 2022 Jan 27.

National Center Natural Product Research, Department of Biomolecular Sciences, University of Mississippi, Jackson, MS 39216, USA.

In the past, lip reconstruction after ablative surgery has been performed by primary closure and more recently by free flap transfer technique. Cheek's skin flap has been used to reconstruct the lower lip cutaneous portion. This study presents a reconstructive method for the vermillion and the lip's cutaneous portion using the Goldstein-Robotti techniques (for the vermillion) and the buccinator flap to reconstruct the cutaneous lip portion and the perioral muscles. Read More

View Article and Full-Text PDF
January 2022

Risk Factors for Infection of Sutured Maxillofacial Soft Tissue Injuries.

Surg Infect (Larchmt) 2022 Apr 21;23(3):298-303. Epub 2022 Feb 21.

Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, P.R. China.

Maxillofacial soft tissue injuries (STIs) are common and frequent in emergency departments. The aim of this study was to analyze factors causing infection of maxillofacial STIs. Patients with maxillofacial STIs who received sutures and had complete medical records were evaluated. Read More

View Article and Full-Text PDF

[Use of dental implants in orthopedic rehabilitation of patients in aesthetically important area].

Stomatologiia (Mosk) 2022 ;101(1):84-88

Central Research Institute of Dental and Maxillofacial Surgery, Moscow, Russia.

The article presents a review of scientific data of Russian and non-Russian works dedicated to the problem of instant dental implantation in the aesthetically important areas, i.e. the upper jaw. Read More

View Article and Full-Text PDF
February 2022

[Effects of clinical application of free anterolateral thigh perforator lobulated flap in repair of electrical burn wounds on head based on the concept of donor site protection].

Zhonghua Shao Shang Za Zhi 2022 Jan;38(1):77-80

Department of Burns and Reconstructive Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To explore the effects of clinical application of free anterolateral thigh perforator lobulated flap in repair of electrical burn wounds on head based on the concept of donor site protection. A retrospective observational study was conducted. Eight patients with electrical burns with huge scalp defects and exposed skulls were admitted to the First Affiliated Hospital of Zhengzhou University, from May 2017 to December 2019, who were all males, aged 21-57 (39±13) years, sustaining multiple deep partial thickness to full-thickness electrical burns to 5%-14% total body surface area. Read More

View Article and Full-Text PDF
January 2022

The Current State of Fat Grafting in the Hand: A Systematic Review for Hand Diseases.

Hand (N Y) 2022 Feb 8:15589447211066347. Epub 2022 Feb 8.

University of Michigan, Ann Arbor, USA.

Autologous fat grafting (AFG) has traditionally been used for facial rejuvenation and soft tissue augmentation, but in recent years, its use has expanded to treat diseases of the hand. Autologous fat grafting is ideal for use in the hand because it is minimally invasive, can restore volume, and has regenerative capabilities. This review summarizes the emerging evidence regarding the safety and efficacy of AFG to the hand in several conditions, including systemic sclerosis, Dupuytren disease, osteoarthritis, burns, and traumatic fingertip injuries. Read More

View Article and Full-Text PDF
February 2022

A comparative analysis of associated injuries in the elderly and youth for facial fractures.

J Plast Reconstr Aesthet Surg 2022 Jun 16;75(6):1979-1987. Epub 2022 Jan 16.

Australian Craniofacial Unit, Adelaide, Australia; Royal Adelaide Hospital, Adelaide, Australia; Women and Children's Hospital, Adelaide, Australia; University of Adelaide, Adelaide, Australia.

Introduction: High-velocity and high-impact forces can yield life-threatening injuries that are not only limited to the face but can involve other regions of the body. Associated injuries are more frequent in the elderly impacting management and outcomes. The primary objective was to study the association between associated injuries and age groups by identifying epidemiological trends and differences among the elderly and younger population. Read More

View Article and Full-Text PDF

Intraoral and transcutaneous point-of-care-ultrasound: an adjunct bedside tool for oral and maxillofacial clinicians.

Quintessence Int 2022 Mar;53(4):352-361

Point-of-care-ultrasound (PoCUS) is performed by the clinician at the patient's bedside and is an essential diagnostic tool in many medical subspecialties, in hospital-based care, emergencies, trauma, and in general practice. A simple, novel approach for implementation of PoCUS of the oral cavity and maxillofacial complex is introduced. Relevant indications include differentiating abscess from cellulitis, detecting jaw and facial fractures, assessment of surgical complications, removing foreign bodies, and evaluating soft tissue masses. Read More

View Article and Full-Text PDF

Metacarpal fractures - A method to simulate life-like fractures in human cadaveric specimens for surgical education.

Hand Surg Rehabil 2022 Apr 29;41(2):214-219. Epub 2022 Jan 29.

University of Cologne, Faculty of Medicine and University Hospital, Center for Orthopedic and Trauma Surgery, Kerpener Str. 62, 50937 Cologne, Germany.

Metacarpal fractures are a type of fracture which trauma surgeons face frequently. Restoration of hand function is the primary objective. The aim of this study was to investigate whether life-like fractures of human cadaveric metacarpals with intact soft-tissue envelope could be simulated for surgical education. Read More

View Article and Full-Text PDF

Facial injury patterns associated with stand-up electric scooters in unhelmeted riders.

Arch Plast Surg 2022 Jan 15;49(1):50-54. Epub 2022 Jan 15.

Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Seoul, Korea.

Background: In recent years, the number of people riding stand-up electric scooters in South Korea has increased rapidly. This study analyzed the facial injury patterns associated with stand-up electric scooter-related trauma in patients who visited our emergency center.

Methods: In this retrospective review, we collected data from patients who had visited our emergency center for stand-up electric scooter-related trauma between January 1, 2018 and December 31, 2020. Read More

View Article and Full-Text PDF
January 2022