Emergency cosmetic suturing of 210 children with maxillofacial skin lacerations_West China Medical Journal

Authors：

ZHAO Yun , TAN Guojing , ZHANG Xiurong , WANG Guilin ,  LIU Bing

Department of Emergency, Yibin Second People’s Hospital / Yibin Hospital of West China Hospital of Sichuan University, Yibin, Sichuan 644000, P. R. China;

Corresponding author：

LIU Bing, Email: 444093330@qq.com

Keywords：

Emergency cosmetic suturing; modified vertical mattress suture; children; maxillofacial skin lacerations; scar

DOI：

10.7507/1002-0179.202409224

Video：

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Objective To analyze the case data of children with maxillofacial skin lacerations and provide a reference for the diagnosis and treatment of maxillofacial skin lacerations in children. Methods The medical records of children with maxillofacial skin lacerations who underwent emergency cosmetic suturing at the Lingang Branch of Yibin Second People’s Hospital between March 2023 and March 2024 were retrospectively collected. The clinical characteristics, diagnosis, treatment, and follow-up of the children were analyzed and summarized. Results A total of 210 children with maxillofacial skin lacerations were included, of which 142 were boys, accounting for 67.62%. The age of the children was most common at 3 years old, accounting for 18.57% (39 cases). A total of 5 children had two lacerations, 3 cases of which were in the same location and 2 cases were not in the same location. The most common site of skin laceration in children was the forehead, accounting for 46.23% (98 cases). The most common cause of maxillofacial skin lacerations was spontaneous falls, accounting for 51.43% (108 cases). The maxillofacial skin lacerations of the children were mainly minor injuries (168 cases, accounting for 80.00%). All children underwent modified vertical mattress suture, and the postoperative satisfaction of the children families was relatively high. Finally, 37 children were successfully followed up, and the follow-up results showed that the wound healing of the maxillofacial skin lacerations were good, the skin scars were not obvious, and the appearance of the skins were basically normal. Conclusion For children with maxillofacial skin lacerations, using the modified vertical mattress suture for emergency cosmetic suturing is beneficial for their injury recovery and facial aesthetics.

Citation： ZHAO Yun, TAN Guojing, ZHANG Xiurong, WANG Guilin, LIU Bing. Emergency cosmetic suturing of 210 children with maxillofacial skin lacerations. West China Medical Journal, 2024, 39(11): 1710-1713. doi: 10.7507/1002-0179.202409224 Copy

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2.	陈凯, 贾保军, 敖建华, 等. 青岛地区 653 例口腔颌面部创伤患者临床流行病学分析. 中国美容医学, 2016, 25(2): 20-23.
3.	刘兵, 叶林霄, 徐经纬, 等. 改良垂直褥式缝合技术在急诊儿童面部裂伤中的应用研究. 当代医学, 2024, 30(8): 16-20.
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6.	Zhou W, An J, He Y, et al. Analysis of pediatric maxillofacial trauma in North China: epidemiology, pattern, and management. Injury, 2020, 51(7): 1561-1567.
7.	王若安. 泰州地区儿童颌面部软组织创伤流行病学特征分析. 大连: 大连医科大学, 2021.
8.	Mohammadi H, Roochi MM, Heidar H, et al. A meta-analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies among children and adolescents. Dent Traumatol, 2023, 39(5): 403-417.
9.	Okoje VN, Alonge TO, Oluteye OA, et al. Changing pattern of pediatric maxillofacial injuries at the accident and emergency department of the university teaching hospital, Ibadan--a four-year experience. Prehosp Disaster Med, 2010, 25(1): 68-71.
10.	吴馨怡, 张文轩, 张惠淇, 等. 学龄前儿童口腔颌面部外伤的调查. 青岛大学学报(医学版), 2023, 59(4): 593-596.
11.	Yang RT, Li Z, Li ZB. Maxillofacial injuries in infants and preschools: a 2. 5-year study. J Craniofac Surg, 2014, 25(3): 964-967.
12.	Chundoo S, McMillan K, Williams R. A retrospective study examining the presentation and management of maxillofacial soft tissue injuries over 3 years at a regional children’s hospital and the introduction of a Maxillofacial Laceration Grading Scale. J Craniofac Surg, 2023, 34(1): 306-311.
13.	史晓煜, 马慧颖, 张爱华, 等. 5762 例非住院颌面部外伤患者回顾分析. 中国口腔颌面外科杂志, 2019, 17(3): 285-288.
14.	许天人. 1287 例面部软组织创伤患者的流行病学及整形修复方法分析. 郑州: 郑州大学, 2022.
15.	Zhou J, Wan T, Miao R, et al. Oral and maxillofacial emergencies: a retrospective study of 5220 cases in West China. Dent Traumatol, 2023, 39(2): 140-146.
16.	Khan TU, Rahat S, Khan ZA, et al. Etiology and pattern of maxillofacial trauma. PLoS One, 2022, 17(9): e0275515.
17.	Guo HQ, Yang X, Wang XT, et al. Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: a two-year retrospective study. Dent Traumatol, 2021, 37(3): 479-487.
18.	边亚滨, 黄英. 儿童面部皮肤裂伤原因及其相关因素的分析. 解放军护理杂志, 2010, 27(10): 742-744.
19.	金州烽. 三种治疗方法对于儿童面部皮肤裂伤的疗效对比. 延边: 延边大学, 2021.
20.	孙海洋, 谭晓燕, 姚平, 等. 儿童急诊面部外伤流行病学特征分析. 中华整形外科杂志, 2020, 36(8): 860-865.
21.	中国临床瘢痕防治专家共识制定小组. 中国临床瘢痕防治专家共识. 中华损伤与修复杂志(电子版), 2017, 12(6): 401-406.

1. 李绍兰, 钟武, 陈睦虎, 等. 医用胶在急诊小儿颌面部外伤中的临床应用. 医学信息, 2014(5): 488.
2. 陈凯, 贾保军, 敖建华, 等. 青岛地区 653 例口腔颌面部创伤患者临床流行病学分析. 中国美容医学, 2016, 25(2): 20-23.
3. 刘兵, 叶林霄, 徐经纬, 等. 改良垂直褥式缝合技术在急诊儿童面部裂伤中的应用研究. 当代医学, 2024, 30(8): 16-20.
4. Gao H, Li Y, Jin S, et al. Epidemiological characteristics and factors affecting healing in unintentional pediatric wounds. Front Public Health, 2024, 12: 1352176.
5. 王淑敏. 颌面部创伤患者 872 例回顾性研究. 呼和浩特: 内蒙古医科大学, 2016.
6. Zhou W, An J, He Y, et al. Analysis of pediatric maxillofacial trauma in North China: epidemiology, pattern, and management. Injury, 2020, 51(7): 1561-1567.
7. 王若安. 泰州地区儿童颌面部软组织创伤流行病学特征分析. 大连: 大连医科大学, 2021.
8. Mohammadi H, Roochi MM, Heidar H, et al. A meta-analysis to evaluate the prevalence of maxillofacial trauma caused by various etiologies among children and adolescents. Dent Traumatol, 2023, 39(5): 403-417.
9. Okoje VN, Alonge TO, Oluteye OA, et al. Changing pattern of pediatric maxillofacial injuries at the accident and emergency department of the university teaching hospital, Ibadan--a four-year experience. Prehosp Disaster Med, 2010, 25(1): 68-71.
10. 吴馨怡, 张文轩, 张惠淇, 等. 学龄前儿童口腔颌面部外伤的调查. 青岛大学学报(医学版), 2023, 59(4): 593-596.
11. Yang RT, Li Z, Li ZB. Maxillofacial injuries in infants and preschools: a 2. 5-year study. J Craniofac Surg, 2014, 25(3): 964-967.
12. Chundoo S, McMillan K, Williams R. A retrospective study examining the presentation and management of maxillofacial soft tissue injuries over 3 years at a regional children’s hospital and the introduction of a Maxillofacial Laceration Grading Scale. J Craniofac Surg, 2023, 34(1): 306-311.
13. 史晓煜, 马慧颖, 张爱华, 等. 5762 例非住院颌面部外伤患者回顾分析. 中国口腔颌面外科杂志, 2019, 17(3): 285-288.
14. 许天人. 1287 例面部软组织创伤患者的流行病学及整形修复方法分析. 郑州: 郑州大学, 2022.
15. Zhou J, Wan T, Miao R, et al. Oral and maxillofacial emergencies: a retrospective study of 5220 cases in West China. Dent Traumatol, 2023, 39(2): 140-146.
16. Khan TU, Rahat S, Khan ZA, et al. Etiology and pattern of maxillofacial trauma. PLoS One, 2022, 17(9): e0275515.
17. Guo HQ, Yang X, Wang XT, et al. Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: a two-year retrospective study. Dent Traumatol, 2021, 37(3): 479-487.
18. 边亚滨, 黄英. 儿童面部皮肤裂伤原因及其相关因素的分析. 解放军护理杂志, 2010, 27(10): 742-744.
19. 金州烽. 三种治疗方法对于儿童面部皮肤裂伤的疗效对比. 延边: 延边大学, 2021.
20. 孙海洋, 谭晓燕, 姚平, 等. 儿童急诊面部外伤流行病学特征分析. 中华整形外科杂志, 2020, 36(8): 860-865.
21. 中国临床瘢痕防治专家共识制定小组. 中国临床瘢痕防治专家共识. 中华损伤与修复杂志(电子版), 2017, 12(6): 401-406.

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