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.	陳凱, 賈保軍, 敖建華, 等. 青島地區 653 例口腔頜面部創傷患者臨床流行病學分析. 中國美容醫學, 2016, 25(2): 20-23.
3.	劉兵, 葉林霄, 徐經緯, 等. 改良垂直褥式縫合技術在急診兒童面部裂傷中的應用研究. 當代醫學, 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. 頜面部創傷患者 872 例回顧性研究. 呼和浩特: 內蒙古醫科大學, 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. 泰州地區兒童頜面部軟組織創傷流行病學特征分析. 大連: 大連醫科大學, 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.	吳馨怡, 張文軒, 張惠淇, 等. 學齡前兒童口腔頜面部外傷的調查. 青島大學學報(醫學版), 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.	史曉煜, 馬慧穎, 張愛華, 等. 5762 例非住院頜面部外傷患者回顧分析. 中國口腔頜面外科雜志, 2019, 17(3): 285-288.
14.	許天人. 1287 例面部軟組織創傷患者的流行病學及整形修復方法分析. 鄭州: 鄭州大學, 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.	邊亞濱, 黃英. 兒童面部皮膚裂傷原因及其相關因素的分析. 解放軍護理雜志, 2010, 27(10): 742-744.
19.	金州烽. 三種治療方法對于兒童面部皮膚裂傷的療效對比. 延邊: 延邊大學, 2021.
20.	孫海洋, 譚曉燕, 姚平, 等. 兒童急診面部外傷流行病學特征分析. 中華整形外科雜志, 2020, 36(8): 860-865.
21.	中國臨床瘢痕防治專家共識制定小組. 中國臨床瘢痕防治專家共識. 中華損傷與修復雜志(電子版), 2017, 12(6): 401-406.

1. 李紹蘭, 鐘武, 陳睦虎, 等. 醫用膠在急診小兒頜面部外傷中的臨床應用. 醫學信息, 2014(5): 488.
2. 陳凱, 賈保軍, 敖建華, 等. 青島地區 653 例口腔頜面部創傷患者臨床流行病學分析. 中國美容醫學, 2016, 25(2): 20-23.
3. 劉兵, 葉林霄, 徐經緯, 等. 改良垂直褥式縫合技術在急診兒童面部裂傷中的應用研究. 當代醫學, 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. 頜面部創傷患者 872 例回顧性研究. 呼和浩特: 內蒙古醫科大學, 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. 泰州地區兒童頜面部軟組織創傷流行病學特征分析. 大連: 大連醫科大學, 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. 吳馨怡, 張文軒, 張惠淇, 等. 學齡前兒童口腔頜面部外傷的調查. 青島大學學報(醫學版), 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. 史曉煜, 馬慧穎, 張愛華, 等. 5762 例非住院頜面部外傷患者回顧分析. 中國口腔頜面外科雜志, 2019, 17(3): 285-288.
14. 許天人. 1287 例面部軟組織創傷患者的流行病學及整形修復方法分析. 鄭州: 鄭州大學, 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. 邊亞濱, 黃英. 兒童面部皮膚裂傷原因及其相關因素的分析. 解放軍護理雜志, 2010, 27(10): 742-744.
19. 金州烽. 三種治療方法對于兒童面部皮膚裂傷的療效對比. 延邊: 延邊大學, 2021.
20. 孫海洋, 譚曉燕, 姚平, 等. 兒童急診面部外傷流行病學特征分析. 中華整形外科雜志, 2020, 36(8): 860-865.
21. 中國臨床瘢痕防治專家共識制定小組. 中國臨床瘢痕防治專家共識. 中華損傷與修復雜志(電子版), 2017, 12(6): 401-406.

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