Facial Soft Tissue Injuries

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What are soft tissue injuries?

Soft tissue injuries, whether isolated or in combination with other injuries, are among the most common traumatic facial injuries encountered by emergency department personnel and oral and maxillofacial surgeons. These injuries account for nearly 10% of all emergency department visits. Although rarely life-threatening, the treatment of these injuries can be complex and may have significant impact on the patient’s facial function and aesthetics and if not properly addressed and managed it will result in obvious facial deformities.

Who can get a facial soft tissue injury?

In general, injury patterns vary greatly depending on the patient population. Slips, trips, and falls, which commonly cause isolated soft tissue injuries such as laceration and contusions, are most common in children and the elderly. Violence and motor vehicle accidents are the predominant causes of injury in individuals ranging from 15 to 50 years old.

Why does a scar form?

Isolated soft tissue wounds should be closed as soon as possible; early repair of soft tissue injuries, even in the setting of significant concomitant injuries, has been associated with improved postoperative aesthetic results. Delays in treatment can result in increased soft tissue swelling, obscuring landmarks and making primary closure more difficult. Increased soft tissue wound exposure is associated with an increased risk of infection.

What to do immediately following a soft tissue injury of the face?

Immediately following a soft tissue injury the wound should be properly cleansed with water and antiseptic lotions to remove any foreign objects from the wound area thus helping to make it infection free.

Rush in for the primary management where the wound will be assessed by the team of oral and maxillofacial surgeons, all the debris will be removed, foreign substances will be eliminated with thorough irrigation and closure of the wound will be done in layers with absorbable stitches for a uniform healing and less cosmetic deformities.

What will happen if the soft tissue injuries on the face are not properly addressed at the earliest?

When a soft tissue injury happens and if not primarily addressed there will be debris and foreign objects over the wound which is contaminated and will prevent the further healing of the wound by the body’s defense mechanism. As a result of this if the debris and foreign objects are not removed or cleansed properly it will lead to infection of the wound and thereby creating an obvious deformity over the wound area leading to more complications like sepsis, gangrene and can lead to life threatening issues.

If the wound is not properly addressed and closed it will lead to abnormality in the defense mechanism of the body thereby leading to excessive collagen production over the wound site during the healing phase resulting in abnormal wound closure and finally the end result will appear as a scar.

Closing the wound is painful?

It’s a chair side procedure and is done completely under local anesthesia which is a completely painless surgical intervention where all the margins of the wound will be smoothened and cleansed with antiseptic lotions to make sure the wound is infection free, ensure proper bloody supply to the wound site will help in a fast recovery followed by closure of the wound with absorbable/non absorbable stitches to ensure a faster healing and less complications.

Soft tissue injury management in FMS

Sterile infection free zone
Pre-operative evaluation and full time assistance by expert team of oral and maxillofacial surgeons.
Before and after topical and systemic antibiotic coverage to prevent further infections
Painless anesthesia with most modern and advanced instruments
Surgical and non surgical interventions by the expert team of oral and maxillofacial surgeons.

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Facial Soft Tissue Injuries

What are soft tissue injuries?

Who can get a facial soft tissue injury?

Why does a scar form?

What to do immediately following a soft tissue injury of the face?

What will happen if the soft tissue injuries on the face are not properly addressed at the earliest?

Closing the wound is painful?

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