Contemporary reconstruction after complex facial trauma
- Burns & Trauma Vol. 8, Issue 1, (2020)
- 作者机构：
Division of Plastic Surgery
- 作者简介：
- 基金信息：
DOI：10.1093/burnst/tkaa003
CLC：Published：2020，
Published Online：28 February 2020，
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Matthew R Zeiderman, Lee L Q Pu, Contemporary reconstruction after complex facial trauma, Burns & Trauma, Volume 8, 2020, tkaa003, https://doi.org/10.1093/burnst/tkaa003
摘要
Abstract
Complex facial trauma requires complex repair and solutions. This process is challenging for the surgeon who seeks to manage the expectations of the patient and family while achieving the best possible result. Historically
the use of pedicled flaps
and then free tissue transfer
were the primary techniques utilized. Advancements in soft-tissue reconstruction
such as perforator flaps and pre-expanded and prefabricated flaps
allow refinement of the soft-tissue reconstruction process to create the best initial soft-tissue coverage. The advent of contemporary technologies
such as virtual surgical planning
stereolithography and customized implants and plates
facilitates a tailored approach to the patient’s reconstructive needs for precise bony reconstruction. When surgical and technological techniques are combined in complementary multistage reconstructions
better reconstructive and aesthetic outcomes are achievable than ever before. In this review
the authors present a summary of the management of complex facial trauma based on the senior author’s broad experience. Initial management and contemporary reconstructive techniques and technology to provide optimal outcomes are reviewed. A case series of complex facial traumas and their reconstructive process is also presented to demonstrate how complementary staged procedures can yield an optimal result. We believe the reconstructive surgeon managing complex facial trauma should strive to incorporate contemporary technologies and techniques into their armamentarium to provide the best patient care.
关键词
Keywords
Facial traumaFacial reconstructionSoft-tissue reconstructionFacial skeletal reconstruction
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