Facial Soft Tissue Injuries in Pediatric Patients
Autor: | Adam B. Johnson, Margarita delaPena, Sydney C. Butts, Sam D. Schild, Tatiana Reis Puntarelli |
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Rok vydání: | 2021 |
Předmět: |
Adult
Child abuse medicine.medical_specialty Soft Tissue Injuries Reconstructive Surgeon Population Physical examination 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Anesthesia Local anesthesia Bites and Stings Child 030223 otorhinolaryngology Intensive care medicine education Facial Injuries Surgical repair education.field_of_study medicine.diagnostic_test business.industry Soft tissue Plastic Surgery Procedures medicine.disease Soft tissue injury Surgery business |
Zdroj: | Facial Plastic Surgery. 37:516-527 |
ISSN: | 1098-8793 0736-6825 |
DOI: | 10.1055/s-0041-1727246 |
Popis: | Soft tissue injuries of the head and neck are a common reason for medical evaluation and treatment in pediatric populations with some unique and important considerations when compared with adults. The incidence and type of injuries continue to evolve with the adoption of new safety measures, technology advancements, and education of the general population. The goal of this article is to provide the reader with a thorough understanding of the evaluation and management of pediatric soft tissue trauma including the initial workup, physical examination, appropriateness of antimicrobial therapy, and setting for surgical repair. Additionally, the pediatric anesthetic considerations for evaluation and repair in regard to local anesthesia, sedation, and general anesthesia are described in detail. There is a focus on dog bites, perinatal injuries, and child abuse as these entities are distinctive to a pediatric population and have particular management recommendations. Lastly, application of the reconstructive ladder as it applies to children is supported with specific case examples and figures. Although there are many parallels to the management of soft tissue injury in adults, we will highlight the special situations that occur in pediatric populations, which are imperative for the facial plastic and reconstructive surgeon to understand. |
Databáze: | OpenAIRE |
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