Facial Plast Surg 2015; 31(03): 194-200
DOI: 10.1055/s-0035-1555619
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Nasal and Perinasal Soft Tissue Injuries

Tara Ramachandra
1   Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee
,
William Russell Ries
1   Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee
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Publikationsverlauf

Publikationsdatum:
30. Juni 2015 (online)

Abstract

The prominence of the nose renders it susceptible to soft tissue trauma of multiple etiologies. In this review, we present a framework for evaluation and treatment of nasal soft tissue injuries. Initial evaluation of nasal soft tissue injuries should include a complete trauma assessment, history, and physical examination. Mechanisms described include lacerations, abrasions, bites, and thermal injuries. Finally, we discuss wound care and surgical treatment options, including local flap and free tissue transfer. Though timing of repair remains somewhat controversial, most sources indicate that immediate reconstruction should be undertaken when possible.

 
  • References

  • 1 Levine E, Degutis L, Pruzinsky T, Shin J, Persing JA. Quality of life and facial trauma: psychological and body image effects. Ann Plast Surg 2005; 54 (5) 502-510
  • 2 Immerman S, Constantinides M, Pribitkin EA, White WM. Nasal soft tissue trauma and management. Facial Plast Surg 2010; 26 (6) 522-531
  • 3 Lee RH, Gamble WB, Mayer MH, Manson PN. Patterns of facial laceration from blunt trauma. Plast Reconstr Surg 1997; 99 (6) 1544-1554
  • 4 Stucker FJ, Hoasjoe DK. Soft tissue trauma over the nose. Facial Plast Surg 1992; 8 (4) 233-241
  • 5 Stallworth CL, Holt GR. Acute soft tissue injuries of the face. In: Papel ID, Frodel JL, Larrabee WF, , et al, eds. Facial Plastic and Reconstructive Surgery. 3rd ed. New York, NY: Thieme Medical Publishers; 2009: 907-918
  • 6 Mulligan RP, Mahabir RC. The prevalence of cervical spine injury, head injury, or both with isolated and multiple craniomaxillofacial fractures. Plast Reconstr Surg 2010; 126 (5) 1647-1651
  • 7 CDC Updated Recommendations for Use of Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis (Tdap) Vaccine from the Advisory Committee on Immunization Practices, 2010 Weekly January 14, 2011 / 60(01):13–15
  • 8 Vasconez HC, Buseman JL, Cunningham LL. Management of facial soft tissue injuries in children. J Craniofac Surg 2011; 22 (4) 1320-1326
  • 9 Vásconez HC, Shockley ME, Luce EA. High-energy gunshot wounds to the face. Ann Plast Surg 1996; 36 (1) 18-25
  • 10 Behnia H, Motamedi MH. Reconstruction and rehabilitation of short-range, high-velocity gunshot injury to the lower face: a case report. J Craniomaxillofac Surg 1997; 25 (4) 220-227
  • 11 Hochberg J, Ardenghy M, Toledo S, Ardenghy ME, Miura Y, Schiebel F. Soft tissue injuries to face and neck: early assessment and repair. World J Surg 2001; 25 (8) 1023-1027
  • 12 Bolt RW, Watts PG. The relationship between aetiology and distribution of facial lacerations. Injury Extra 2004; 35 (1) 6-11
  • 13 Denneny III JC. Nasal avulsion injuries. Otolaryngol Head Neck Surg 1987; 97 (5) 456-461
  • 14 Lehr HB, Fitts Jr WT. The management of avulsion injuries of soft tissue. J Trauma 1969; 9 (3) 261-273
  • 15 Eppley BL, Schleich AR. Facial dog bite injuries in children: treatment and outcome assessment. J Craniofac Surg 2013; 24 (2) 384-386
  • 16 Tu AH, Girotto JA, Singh N , et al. Facial fractures from dog bite injuries. Plast Reconstr Surg 2002; 109 (4) 1259-1265
  • 17 Ersoy B, Celebiler O, Numanoğlu A. A new alternative for reconstruction of soft triangle defects secondary to burn injury: superiorly based columellar flap. J Plast Reconstr Aesthet Surg 2010; 63 (10) 1733-1735
  • 18 Cartotto R, Cicuto BJ, Kiwanuka HN, Bueno EM, Pomahac B. Common postburn deformities and their management. Surg Clin North Am 2014; 94 (4) 817-837
  • 19 Shipkov H, Traikova N, Stefanova P, Pazardjikliev D, Simov R. The forehead flap for immediate reconstruction of the nose after bite injuries: indications, advantages, and disadvantages. Ann Plast Surg 2014; 73 (3) 358
  • 20 Huang AH, Wong MS. Acute nasal reconstruction with forehead flap after dog bite. Ann Plast Surg 2013;
  • 21 Herford AS. Early repair of avulsive facial wounds secondary to trauma using interpolation flaps. J Oral Maxillofac Surg 2004; 62 (8) 959-965
  • 22 Guo L, Pribaz JR, Pribaz JJ. Nasal reconstruction with local flaps: a simple algorithm for management of small defects. Plast Reconstr Surg 2008; 122 (5) 130e-139e
  • 23 Lunatschek C, Schwipper V, Scheithauer M. Soft tissue reconstruction of the nose. Facial Plast Surg 2011; 27 (3) 249-257
  • 24 Burget GC, Walton RL. Optimal use of microvascular free flaps, cartilage grafts, and a paramedian forehead flap for aesthetic reconstruction of the nose and adjacent facial units. Plast Reconstr Surg 2007; 120 (5) 1171-1207 , discussion 1208–1216
  • 25 Swartz WM. Microvascular approaches to nasal reconstruction. Microsurgery 1988; 9 (2) 150-153