Management of Avulsive Soft Tissue Ballistic Facial Injuries

    February 2025 in “ Seminars in Plastic Surgery ”
    Yang Ding, Winston R. Owens, Diego M. Quirarte, Olivia G. Leonovicz, Kerry Latham
    TLDR Effective reconstruction techniques are crucial for treating severe facial injuries from ballistic trauma.
    The article discusses the management of avulsive soft tissue ballistic facial injuries, which are complex cases for plastic surgeons due to the significant tissue loss involved. It emphasizes the importance of thorough assessment and staged reconstruction following patient stabilization. Reconstruction techniques vary widely, from primary closure to multistage free flaps, and recent advancements in composite tissue transplant and allografts have enhanced reconstructive options. The review aims to highlight the essential principles of soft tissue management and reconstruction to achieve optimal aesthetic and functional outcomes for patients with severe facial ballistic injuries.
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