Emergency cosmetic repair of injuries in lip and chin regions

LIU Yi; XIAO Bin; LIU Ping; SONG Mei; CHEN Li-ming; XU Cheng-xin; SUN Xiao-chen

doi:10.3969/j.issn.1009-4237.2015.05.003

Abstract：Objective To summarize the experience of emergency cosmetic repair of injuries in lip and chin regions.Methods The clinical data of 137 cases (89 males and 48 females;185 wounds)of lip and chin in-juries who were admitted in our hospital from Sep.2004 to Dec.2014 were retrospectively analyzed,age ranged from 1-52 years with the average age of 12.2 years.The principles of medical aesthetics and plastic and cosmetic surgery were followed without emphasizing on the debridement timing.A high pressure irrigation technique was employed for thorough debridement.Wounds without skin and soft tissue defect were sutured accurately according to tissue zona-tion with a new suture technique,and the needle distance and the edge distance were 0.2cm.Wounds with skin and soft tissue defect were repaired by various flaps according to the repair principle of "rather near than further,rather simple than complicated".Attention was paid to rehabilitation care.Results Of 185 wounds in 137 cases,139 wounds without tissue defect healed on the first stage after being sutured cosmetically.Thirty-eight wounds with tis-sue defect were repaired by 29 local flaps,9 subcutanous pedicle flaps and 3 mucosa flaps.Among 5 wounds under-going delayed repair,2 were directly sutured and 3 with soft tissue defect were repaired with local flaps.All flaps survived and the wounds healed on the first stage.The appearance of all wounds was good and patients were satis-fied.A total of 167 wounds from 121 cases were followed up for 3-12 months.Most cases were in satisfactory con-dition without obvious cicatrix. Conclusion In the emergency treatment of injuries in lip and chin regions, the principle of "cosmetic repair of trauma"should be followed, and the theory of aesthetics combined with the tech-niques of plastic and cosmetic surgery should be applied in cosmetic repair.