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August 1966

Plastic Reconstructive Principles in Facial Injuries

Author Affiliations

From the Department of Otolaryngology, University of Pittsburgh School of Medicine and Mercy Hospital.

Arch Otolaryngol. 1966;84(2):205-216. doi:10.1001/archotol.1966.00760030207017

THE CARE of acute facial injuries is no longer limited to reducing fractures and closing lacerations. Greater recognition is now given the desirability and necessity of utilizing plastic reconstructive procedures in the primary repair of facial injuries. Application of such surgical techniques at the time of initial repair can be of inestimable value in total rehabilitation of the patient.

Best results in both esthetic and functional restoration can be achieved by judicious use of such plastic reconstructive procedures as: (1) dermabrasion; (2) relaxation incisions, Z-plasties, and local flaps; (3) skin grafts; (4) immediate reconstruction of a severed parotid duct and lacerated facial nerve; and (5) immediate application of other tissue grafts and/or artificial implants.

The well-trained otolaryngologist is ideally suited for the correction of facial injuries because of his superior knowledge of the anatomy, physiology, and pathological problems related to the tissues involved. With the same skill he employs in

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