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March 1955

The Facial-Wound Problem

AMA Arch Otolaryngol. 1955;61(3):313-325. doi:10.1001/archotol.1955.00720020328004

The effect of wounds on the face is so depressing from functional, economic, and social standpoints that an acceptable restoration of the facial mask has always been regarded by surgeons with deep concern.1 Facial wounds present problems not encountered elsewhere in the body because of their exposed position and the importance of the contained structures.

A minor infraction of technique in their repair is likely to incur serious consequences. For instance, a malalinement of a lid margin may cause displacement of the cilia, ectropion, or coloboma, with consequent ocular damage. Faulty suturing along the mucocutaneous junction of the lip may give rise to noticeable deformity. If continuity can be restored only by the addition of new material, difficulty arises in securing tissue that will match the surroundings in color and texture.

The mucous membrane lining the orbital, buccal, and nasal cavities requires careful attention. Faulty suturing of the conjunctiva

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