Inpatients with gunshot wounds to the face

The Journal of Craniofacial Surgery
Gordon H SunDavid B Hom

Abstract

Microvascular free tissue transfer (FTT) is an increasingly used method of reconstruction for traumatic defects of the head and neck. We describe the immediate management, FTT reconstruction techniques, and outcomes of 6 individuals who sustained maxillofacial gunshot trauma and were treated at a single tertiary-care level I trauma center. All 6 patients were white men with a mean age of 33 years. The mandible, nose, and orbital contents were the most frequently affected critical structures. All patients initially underwent primary wound debridement and tracheostomy, with concurrent maxillomandibular wire fixation and/or midface or mandible plate fixation in 5 patients. The mean time from injury to definitive FTT was 38 days. Five patients underwent fibula osteocutaneous FTT and 1 underwent radial forearm fasciocutaneous FTT. One patient also underwent concurrent local tissue rearrangement and pedicled flap surgery for nasal reconstruction. The mean hospital length of stay after FTT was 6 days. All FTT survived without necrosis. Oral incompetence and poor cosmesis from undesirable scarring patterns were the most common long-term complications. In summary, successful reconstruction of head and neck defects caused by gunshot trau...Continue Reading

References

Mar 1, 1991·Plastic and Reconstructive Surgery·J S GrussJ H Phillips
Feb 1, 1986·Journal of Maxillofacial Surgery·M A CohenI Smith
Jan 1, 1996·Annals of Plastic Surgery·H C VásconezE A Luce
Jan 8, 2000·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·M H Motamedi, H Behnia
Mar 13, 2001·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·L HollierM Kattash
Nov 25, 2005·Facial Plastic Surgery : FPS·J Nicolas McLeanSeth A Yellin
May 23, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Mohammad Hosein Kalantar Motamedi
Jul 11, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery·Vishal S Doctor, D Gregory Farwell
Mar 26, 2008·The Journal of Craniofacial Surgery·Yoav KaufmanLarry Hollier
Apr 28, 2009·Facial Plastic Surgery Clinics of North America·Neal D Futran

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Citations

Aug 13, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Sunil S TholpadyRoberto L Flores
Jun 27, 2015·The Journal of Craniofacial Surgery·Jacob ChristensenMichael Peleg
May 1, 2018·Plastic and Reconstructive Surgery. Global Open·Elbert E VacaEduardo D Rodriguez

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