Facial Plast Surg 2021; 37(04): 480-489
DOI: 10.1055/s-0041-1722923
Original Article

Management of Acute Soft Tissue Injuries of the Cheek and Principles of Scar Revision

Caroline Hudson
1   Department of Otolaryngology, Head & Neck Surgery, Baylor College of Medicine, Houston, Texas
,
Krista Olson
1   Department of Otolaryngology, Head & Neck Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations

Abstract

Facial soft tissue injury is a challenging and complex problem for the facial plastic and reconstructive surgeon for cosmetic and functional reasons. This article will focus on the management of soft tissue injuries of the cheek, one of the most important presenting areas of the face. The cheek, like any other part of the face, is susceptible to several types of injury and any of these injuries have the potential to disfigure and debilitate. Knowledge of anatomical structures and wound healing principles is critical to devising an appropriate management plan and achieving superior patient outcomes in scar revision cases. Multiple techniques to improve long-term scarring from facial soft tissue injuries are available.



Publication History

Article published online:
31 January 2021

© 2021. Thieme. All rights reserved.

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  • References

  • 1 Kretlow JD, McKnight AJ, Izaddoost SA. Facial soft tissue trauma. Semin Plast Surg 2010; 24 (04) 348-356
  • 2 Pepper JP, Baker SR. Local flaps: cheek and lip reconstruction. JAMA Facial Plast Surg 2013; 15 (05) 374-382
  • 3 Nguyen J, Duong H. Anatomy, Head and Neck, Cheeks. Treasure Island, FL: StatPearls Publishing; 2020
  • 4 Braun TL, Maricevich RS. Soft tissue management in facial trauma. Semin Plast Surg 2017; 31 (02) 73-79
  • 5 Crecelius C. Soft tissue trauma. Atlas Oral Maxillofac Surg Clin North Am 2013; 21 (01) 49-60
  • 6 Perry M, Dancey A, Mireskandari K, Oakley P, Davies S, Cameron M. Emergency care in facial trauma—a maxillofacial and ophthalmic perspective. Injury 2005; 36 (08) 875-896
  • 7 Mithani SK, St-Hilaire H, Brooke BS, Smith IM, Bluebond-Langner R, Rodriguez ED. Predictable patterns of intracranial and cervical spine injury in craniomaxillofacial trauma: analysis of 4786 patients. Plast Reconstr Surg 2009; 123 (04) 1293-1301
  • 8 Kaufman Y, Cole P, Hollier L. Contemporary issues in facial gunshot wound management. J Craniofac Surg 2008; 19 (02) 421-427
  • 9 Gordin E, Lee TS, Ducic Y, Arnaoutakis D. Facial nerve trauma: evaluation and considerations in management. Craniomaxillofac Trauma Reconstr 2015; 8 (01) 1-13
  • 10 Rovak JM, Tung TH, Mackinnon SE. The surgical management of facial nerve injury. Semin Plast Surg 2004; 18 (01) 23-30
  • 11 Lazaridou M, Iliopoulos C, Antoniades K, Tilaveridis I, Dimitrakopoulos I, Lazaridis N. Salivary gland trauma: a review of diagnosis and treatment. Craniomaxillofac Trauma Reconstr 2012; 5 (04) 189-196
  • 12 Bolt RW, Watts PG. The relationship between aetiology and distribution of facial lacerations. Inj Extra 2004; 35: 6-11
  • 13 Rothe K, Tsokos M, Handrick W. Animal and human bite wounds. Dtsch Arztebl Int 2015; 112 (25) 433-442 , quiz 443
  • 14 Medeiros I, Saconato H. Antibiotic prophylaxis for mammalian bites. Cochrane Database Syst Rev 2001; (02) CD001738
  • 15 Patil PD, Panchabhai TS, Galwankar SC. Managing human bites. J Emerg Trauma Shock 2009; 2 (03) 186-190
  • 16 Rui-feng C, Li-song H, Ji-bo Z, Li-qiu W. Emergency treatment on facial laceration of dog bite wounds with immediate primary closure: a prospective randomized trial study. BMC Emerg Med 2013; 13 (1, suppl 1): S2
  • 17 Thomas JR, Somenek M. Scar revision review. Arch Facial Plast Surg 2012; 14 (03) 162-174
  • 18 Borges AF. Relaxed skin tension lines (RSTL) versus other skin lines. Plast Reconstr Surg 1984; 73 (01) 144-150
  • 19 Gibson T, Stark H, Evans JH. Directional variation in extensibility of human skin in vivo. J Biomech 1969; 2 (02) 201-204
  • 20 Garg S, Dahiya N, Gupta S. Surgical scar revision: an overview. J Cutan Aesthet Surg 2014; 7 (01) 3-13
  • 21 Eliya-Masamba MC, Banda GW. Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury. Cochrane Database Syst Rev 2013; (10) CD008574
  • 22 Mustoe TA, Cooter RD, Gold MH. et al; International Advisory Panel on Scar Management. International clinical recommendations on scar management. Plast Reconstr Surg 2002; 110 (02) 560-571
  • 23 Thomas JR, Prendiville S. Update in scar revision. Facial Plast Surg Clin North Am 2002; 10 (01) 103-111
  • 24 Sharma M, Wakure A. Scar revision. Indian J Plast Surg 2013; 46 (02) 408-418
  • 25 Ireton JE, Unger JG, Rohrich RJ. The role of wound healing and its everyday application in plastic surgery: a practical perspective and systematic review. Plast Reconstr Surg Glob Open 2013; 1 (01) e10-e19
  • 26 O'Brien L, Jones DJ. Silicone gel sheeting for preventing and treating hypertrophic and keloid scars. Cochrane Database Syst Rev 2013; 1 (09) CD003826
  • 27 Sanders KW, Gage-White L, Stucker FJ. Topical mitomycin C in the prevention of keloid scar recurrence. Arch Facial Plast Surg 2005; 7 (03) 172-175
  • 28 Wong TS, Li JZ, Chen S, Chan JY, Gao W. The efficacy of triamcinolone acetonide in keloid treatment: a systematic review and meta-analysis. Front Med (Lausanne) 2016; 3: 71
  • 29 Hu L, Zou Y, Chang SJ. et al. Effects of botulinum toxin on improving facial surgical scars: a prospective, split-scar, double-blind, randomized controlled trial. Plast Reconstr Surg 2018; 141 (03) 646-650
  • 30 Tripathi PB, Nelson JS, Wong BJ. Posttraumatic laser treatment of soft tissue injury. Facial Plast Surg Clin North Am 2017; 25 (04) 617-628
  • 31 Shim HS, Jun DW, Kim SW, Jung SN, Kwon H. Low versus high fluence parameters in the treatment of facial laceration scars with a 1,550 nm fractional erbium-glass laser. BioMed Res Int 2015; 2015: 825309
  • 32 Hession MT, Graber EM. Atrophic acne scarring: a review of treatment options. J Clin Aesthet Dermatol 2015; 8 (01) 50-58
  • 33 Riyat H, Touil LL, Briggs M, Shokrollahi K. Autologous fat grafting for scars, healing and pain: a review. Scars Burn Heal 2017; 3: 2059513117728200