Management of Traumatic Nasal Avulsion Injuries

Facial Plast Surg Clin North Am. 2024 May;32(2):315-325. doi: 10.1016/j.fsc.2024.01.007. Epub 2024 Feb 13.ABSTRACTSoft tissue injuries to the midface (and nose) are common causes for seeking trauma care. As trauma patients, observing advanced trauma life support protocols is warranted given the risk of concomitant injuries. Here, options for optimizing tissue preservation, microvascular replantation, non-microvascular tissue replacement, and wound stabilization are discussed. Included in this discussion are data-driven predictors for successful replantation as well as technique descriptions with anatomic references to guide surgeons in choosing optimal donor vessels. In both partial and complete avulsion injuries, venous congestion is common. Several postoperative wound care protocols to maximize tissue perfusion and long-term viability are discussed.PMID:38575289 | DOI:10.1016/j.fsc.2024.01.007

Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Scott Bevans Source Type: research