A Penetrating Facial Wound With Burn Injury

The Journal of Craniofacial Surgery
Ran DuanQingfeng Li

Abstract

A patient presented with a complex penetrating facial wound by high temperature steel. The hot steel penetrated right temple, ethmoid bone, and maxillary sinus, and then exited from his left cheek. He kept his right eye but lost his sight. For functional and esthetic considerations, treatments were provided in a staged procedure. First, the debridement was performed under the endoscope. The dead bone was removed, broken teeth were extracted, and necrotic tissue was cleaned. The exposed wounds were cleaned, and dressing was changed daily until the exudation was widely reduced. Then, a 50-mL expander was placed in the left cheek, and an 80-mL expander was put in the scalp just before the defect in the temple area. Five months later, expander inflation was accomplished. Expanders were taken out and expanded flaps were transposed to cover the defect. At the same time, an anterolateral thigh flap was harvested to repair the inner lining of the cheek and the gingiva. Thereafter, several operations were performed to revise the wound scar and the remaining deformity. Both defects in the temple and left cheek were restored with a satisfactory functional and aesthetic outcome. The temporal area was repaired with haired expanded scalp, wh...Continue Reading

References

Apr 1, 1986·British Journal of Plastic Surgery·M J TimmonsD M Davies
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Oct 14, 2005·Critical Care : the Official Journal of the Critical Care Forum·David S Kauvar, Charles E Wade
Mar 5, 2008·Plastic and Reconstructive Surgery·Ziv M PeledMichael J Yaremchuk
Jun 27, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Michael G Brandt, Corey C Moore

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Citations

Sep 2, 2020·Khirurgiia·P V SaryginS A Ukhin
Mar 9, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Kevin M KliftoC Scott Hultman

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