Contemporary reconstruction after complex facial trauma

Matthew R Zeiderman; Lee L Q Pu

doi:10.1093/burnst/tkaa003

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Contemporary reconstruction after complex facial trauma

更新时间：2022-06-09

- Contemporary reconstruction after complex facial trauma
- Contemporary reconstruction after complex facial trauma
- Burns & Trauma 2020年8卷第1期
- 作者机构：
  
  Division of Plastic Surgery
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkaa003
  中图分类号：
- 纸质出版日期：2020，
  
  网络出版日期：2020-2-28，
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Matthew R Zeiderman, Lee L Q Pu. Contemporary reconstruction after complex facial trauma[J]. Burns & Trauma, 2020,8(1).

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
Matthew R Zeiderman, Lee L Q Pu. Contemporary reconstruction after complex facial trauma[J]. Burns & Trauma, 2020,8(1). DOI： 10.1093/burnst/tkaa003.

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 DOI：

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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