Management of extensive injury in the upper third face: clinical case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i11.19422

Keywords:

Wounds and Injuries; Sutures; Facial injuries.

Abstract

Facial soft tissue injuries can be considered a study challenge for professions that work with aesthetic and functional rehabilitation in this area, such as maxillofacial surgeons. These injuries can play a prominent role in the care of traumatized patients due to their potential to compromise the individual's life, as, when badly handled, they leave sequelae that present emotional and functional repercussions and possible permanent deformities. male patient, 33 years old, treated at the Hospital da Restauração Governador Paulo Guerra, Recife, Pernambuco, with a history of falling an iron gate on his head (work accident), attending a mild traumatic brain injury and extensive wound in the face and scalp. The established treatment was antisepsis with 2% chlorhexidine gluconate in the region, copious irrigation with 0.9% sterile saline and suturing in planes. Soft tissue lesions on the face have the potential to compromise the individual's life and may cause sequelae that have emotional and functional repercussions and possible permanent deformities. The diagnosis and proper management by the maxillofacial surgery and traumatology team is of paramount importance.

References

Anghel, E. L. & Kim, P. J. (2016) Negative-Pressure Wound Therapy: A Comprehensive Review of the Evidence. Wound Healing, 129S-137S.

Barbosa, L. M, Arruda, C. V. B, Fonseca, E. L. G, Pinto, P. S., Oliveira, L. M. L., Cunha, J. S., Carneiro, S. C. A. S & Vasconcelos, B. C. E. (2020, junho). Tratamento de lesão extensa em face decorrente de trauma. Relato de caso. Brazilian Journal Of Health Review, Curitiba, 3 (3), 5321-5330.

Bonham, J. (2011). Comparison of suture types in the closure of scalp wounds. Emergency NURSE, 19(3), 34-39.

Cavalcante, M. B., Rocha, C. B. S., Uchôa, C. P., Marcelino, I. M. P, Siqueira, N. B & Silva, E. D. O. Lesão De Tecido Mole Após Acidente Motociclístico. (2020, novembro) Odontol. Clín.-Cient., Recife, 19 (5), 408-411.

Chen, L., Li, G., Liu, S., Ma, X., Li, X., Su, Y. &Guo, S. (2017). Comparison of Negative Pressure Wound Therapy and Conventional Therapy for Cranial Bone-exposed Wounds in Rabbits. Annals of Plastic Surgery, 74(4), 397-403.

Dantas, R. F., Dias, M. A. P., Filho, M. O. D., Ribeiro, E. D. & Andrade, G. S. S. (2013, abril) Lesão de tecidos moles causada por arma branca - revisão de literatura. Rev. Odontol. Univ. Cid. São Paulo, 25(1), 40-6.

De Aguiar, J. F., & Gomes, V. R., de Melo, M. C. S., Jorge M. J., Melo M. J. R. (2020). Manejo bucomaxilofacial de tecidos moles e duros após queda de bicicleta: relato de caso. Brazilian Journal of Oral and Maxillofacial Surgery, 20(3), 34-38.

Diógenes, C. C., Bezerra, F. H. V., da Silva, M. B., de Almeida, I. T., de Morais Neves, L. E., Teixeira, F. G., & Maciel, F. A. C. (2021). Manejo de lesão extensa face decorrente de mordedura canina em paciente pediátrico: Relato de caso clínico. Research, Society and Development, 10(9), e546101918374-e546101918374.

Figueiró, A. P. (2016) Prevalência de injúrias em tecidos moles em pacientes atendidos em um centro especializado no tratamento de traumatismos dentários. RFO, Passo Fundo, 21(3), 401-6.

Ghosh, R. & Gopalkrishnan, K. (2018). Facial Fractures. Journal of Craniofacial Surgery, 29(4), 334–340. 10.1097/scs.0000000000004269

Heitz, C., Louzada, G. P., Conci, R. A., Rodrigues, R. L., & Fritscher, G. G. (2018) Reparo primário de uma fratura panfacial complexa por mordida de cachorro. Plast Reconstr Surg Glob Open. 6 (4): e1719.

Hogg, N. J., Stewart, T. C., Armstrong J. & Girotti, M. J. (2000) Epidemiology of maxillofacial injuries at trauma hospitals in Ontario, Canada, between 1992 and 1997. J Trauma, 49,425–32. 10.1097/00005373-200009000-00007

Hussaini, H. M., Rahman, N. A., Rahman, R. A., Nor, G. M., AI Idrus, S. M. & R. Ramli. (2007). Maxillofacial trauma with emphasison soft-tissue injuries in Malaysia. Int. J. Oral Maxillofac. Surg. 36, 97–801.

Mathur A., Ramesh K., & Kumar G. A. (2011) Management of animal bite wounds on face: our experience. World Journal of Dentistry. 2(4):309-311.

Nascimento, R. S. N, Carneiro, L. A. C, Almeida, N. G, Lasso, D. M. M & Souza, A. S. (2020, agosto) Tratamento De Fraturas Múltiplas Da Face Associadas A Ferimento Extenso: Relato De Caso. Revista Odontológica de Araçatuba, 41(1), 22-27.

Ohama, Victor Hideo, Bezerra, A. M., Castro, E. F & Sprovieri, S. R. S. (2019, agosto). Tétano acidental em adultos: uma proposta de abordagem inicial. Arq Med HospFacCienc Med Santa Casa São Paulo, 64(2), 120-124.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.

Pinto, P. S. (2018, junho) Manejo de ferimento extenso em terço médio da face. Rev. Cir. Traumato. Buco-Maxilo-Fac., 18(2), 53-57.

Rui-Feng C., Li-Song H., Ji-Bo Z., & LiQiu W. (2013) Emergency treatment on facial laceration of dog bite wounds with immediate primary closure: a prospective randomized trial study. BMC Emergency Medicine, 13(Suppl 1): S2.

Sahni, V. (2017). Psychological Impact of Facial Trauma. Craniomaxillofacial Trauma &Reconstruction, 11(01), 015–020. 10.1055/s-0037-1603464

Santos, T. S., Antunes, A. A., Carvalho, R. W. F., Avelar, R. F., Melo, R. E. V. A., & Dourado, E. (2007) Perfil dos pacientes vítimas de mordeduras faciais: um estudo retrospectivo. RGO, Porto Alegre, 55(4), 369-73

Segundo, A. V. L., Gondim, D. G. A., &Caubi, A. F. (2007). Tratamento dos ferimentos faciais. Rev. Cir. Traumatol. Buco-Maxilo-fac,7(1): 9 - 16.

Silva, J. J. L. (2011). Trauma facial: análise de 194 casos. Rev. Bras. Cir. Plást., 26(1), 37-41.

Singer A. J. et al. (2005). Single-layer versus double-layer closure of facial lacerations: a randomized controlled trial. Plast Reconstr Surg. 116(2)369-370. 10.1097/01.prs.0000172758.00088.81

Singh, V., Malkunje, L., Mohammad, S., Singh, N., Dhasmana, S. & Das, S. K. (2012) The maxillofacial injuries: A study. National Journal of Maxillo facial Surgery, 3, 166-171.

Truong, T. A. (2017) Initial Assessment and Evaluation of Traumatic Facial Injuries. Seminars in Plastic Surgery, 31(2), 69-72.

Vanrell, J. P. (2016). Odontologia Legal e Antropologia Forense. (2a ed.), Guanabara Koogan.

Vieira, C. L., Araujo, D. C. C., Ribeiro, M. L. S & Filho, J. R. L. (2013) Lesão de tecido mole em pacientes vítimas de trauma buco-maxilo-facial. Rev. cir. traumatol. buco-maxilo-fac., 13(1), 97-104.

Published

25/08/2021

How to Cite

LYRA, C. V. V.; ARRIBAS, M. C. A. de; TRIGUEIRO, M. J. F. de M. .; SILVA, T. C. M. da .; MONTEIRO, V. R. .; DIÓGENES, C. C. .; RAMOS, L. V. S. .; SILVA, M. B. da .; NEVES , L. E. de M. .; LAGO, C. A. P. do . Management of extensive injury in the upper third face: clinical case report. Research, Society and Development, [S. l.], v. 10, n. 11, p. e126101119422, 2021. DOI: 10.33448/rsd-v10i11.19422. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/19422. Acesso em: 23 apr. 2024.

Issue

Section

Health Sciences