Best choice for maxillofacial trauma

With the rapid development of China’s economic level, the people’s spiritual civilization needs are also increasing day by day. People’s pursuit of beauty is not only manifested in cosmetic surgery, for the treatment of trauma, people also put forward higher requirements. more than 10 years ago, people’s requirements for traumatic injuries may only be healing; now, not only require healing, but also good healing, the best not to leave obvious traces. Therefore, more and more trauma patients are actively requesting plastic surgeons to treat their wounds. Traumatoplasty is a key measure in the management of maxillofacial trauma. According to the wound condition, debridement plastic surgery can be categorized into debridement suturing, flap repair, debridement skin grafting, debridement and dressing change. Small skin lacerations and contusions on the maxillofacial region can be directly debrided and sutured. The usual emergency treatment is to close the wound edge with a thicker silk suture all over after debridement. After the operation, there is often a more obvious scar, such as “centipede-like”; due to the lack of suture dermal tissue, the scar tends to become indented wider, and the appearance is very unattractive. Unlike general debridement surgery, debridement surgery uses absorbable sutures to close the subcutaneous tissue and dermis, and then uses non-invasive sutures to close the skin or directly uses medical adhesive to close the skin. Non-invasive sutures are thinner than a hair and do not leave a stitch mark after removal. If adhesive glue is used, there is no need to change or remove stitches at all, which is especially suitable for pediatric patients. If the wound is deeper and injures muscles, blood vessels and nerves, etc., the operation can be repaired with simultaneous sutures. Layer by layer suturing can achieve the best repair of the function and appearance of the injured area. For larger maxillofacial trauma, when there is a skin defect, the general emergency treatment measures are overstretched, it is necessary to have a professional plastic surgeon to deal with. According to the patient’s gender, age, trauma condition and the patient’s requirements, etc., comprehensive consideration, the appropriate debridement plastic surgery. Most of the children patients, female patients have higher requirements for the repair effect, we can choose flap repair; the wound is deeper, and there is bone exposure, neurovascular exposure, must be repaired with a flap; the wound has no important tissues exposed and the requirements of the patient is not high, you can choose to debridement implantation; more dirty or has been infected with pus wound, can only choose to debridement and exchange, to wait for the wound to improve for the second phase of the repair. In short, the purpose of debridement plastic surgery is to maximize the repair of the function and appearance of the wound, to avoid reoperation, and to minimize the patient’s economic burden and physical and psychological trauma. Traumatoplasty is the best management measure for maxillofacial trauma. However, due to objective limitations, most primary hospitals do not have plastic surgery departments, so many trauma patients do not receive debridement plastic surgery. These patients do not have to worry too much, and the second stage repair can also achieve better results.