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Facial Plast Surg 2019; 35(06): 672-677
DOI: 10.1055/s-0039-1700889
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Complex Wound Management

Tom Shokri
1   Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Sameep Kadakia
2   Department of Plastic and Reconstructive Surgery, Wright State University, Dayton, Ohio
,
Yadranko Ducic
3   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
29 November 2019 (online)

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Abstract

Despite the generous blood supply, and resultant healing capacity within the head and neck, complex wounds in this area may be extremely debilitating and present an obstacle to treatment for the reconstructive surgeon. Delayed, incomplete, or otherwise suboptimal wound healing within this anatomical region may lead to both functional and aesthetically displeasing outcomes, resulting in impaired speech or swallowing, social stigma, and, in severe cases, exposure of critical underlying structures. Due to implications, with regard to wound formation following surgical intervention, the facial reconstructive surgeon, in particular, must be familiar with the multitude of treatment modalities available. This article serves as a review of the underlying pathophysiology of wound healing, local and systemic processes that may influence the healing process, and treatments that facilitate tissue restoration while mitigating future complications.

Keywords

wounds - complications - wound healing - contaminated wounds - wound bed preparation
 

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