Analysis of Patients with Facial Lacerations Repaired in the Emergency Room of a Provincial Hospital

Lee, Joon Ho; Jeon, Myeong Su; Lee, Dong Lark; Shin, Hea Kyeong; Seul, Jung Hyun

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자료유형: 학술저널

저자정보: Lee, Joon Ho (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) Jeon, Myeong Su (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) Lee, Dong Lark (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) Shin, Hea Kyeong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) Seul, Jung Hyun (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제1호

발행연도: 2015.1

수록면: 34 - 39 (6page)

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Background Facial laceration is the most common injury encountered in the emergency room in the plastic surgery field, and optimal treatment is important. However, few authors have investigated this injury in all age groups or performed follow-up visit after repair. In the present study, the medical records of patients with lacerations in the facial area and underwent primary repair in an emergency room over a 2-year period were reviewed and analyzed. Methods Medical records of 3,234 patients with lacerations in facial area and underwent primary repair in an emergency room between March 2011 and February 2013 were reviewed and identified. Results All the 3,234 patients were evaluated, whose ratio of men to women was 2.65 to 1. The forehead was the most common region affected and a slip down was the most common mechanism of injury. In terms of monthly distribution, May had the highest percentage. 1,566 patients received follow-up managements, and 58 patients experienced complications. The average days of follow-up were 9.8. Conclusions Proportion of male adolescents was significantly higher than in the other groups. Facial lacerations exhibit a 'T-shaped' facial distribution centered about the forehead. Careful management is necessary if a laceration involves or is located in the oral cavity. We were unable to long term follow-up most patients. Thus, it is necessary to encourage patients and give them proper education for follow-up in enough period.

#Lacerations #Facial injuries #Follow-up studies

참고문헌 (13)

참고문헌 신청

Key SJ / 1995 / The management of soft tissue facial wounds / Br J Oral Maxillofac Surg 33:76~85

Lee RH / 1997 / Patterns of facial laceration from blunt trauma / Plast Reconstr Surg 99:1544~1554

Kim YW / 2001 / Clinical evaluation of facial laceration patients who visited Tertiary Emergency Medical Center / J Korean Soc Emerg Med 12:143~151

정용휘 / 2011 / 소아 안면부 열상 환자의 임상 분석 / Archives of Plastic Surgery 38(6):761~764

Baker MD / 1990 / Lacerations in urban children. A prospective 12-January study / Am J Dis Child 144:87~92

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