Abstract: Objective: To summarized  the effect and experience of emergency plastic surgery to restore maxillofacial soft tissue traumatic defects. Methods: 128 patients suffered from maxillofacial soft tissue traumatic defects were comprised in this review.The causes of trauma, location and defect area of the trauma, treatment method and clinical effects were analyzed. Results: Areas of traumatic defects ranged from 3.8 cm×3.2 cm to 0.8 cm×1.5 cm respectively. Application of random skin flap from nearby tissues to repair the defect were underwent in 98 cases, accounting for 76.56%. Type axial flaps were used in 30 cases, accounting for 23.44%. Plastic results were favourable. Conclusion: Emergency reconstructive surgery might be the treatment of choice in case of maxillofacial soft tissue traumatic defects.

Key words:  , maxillofacial region, soft tissue, defective trauma, emergency surgery

摘要： 目的：探讨颌面部软组织缺损性创伤的急诊治疗效果和经验。方法：对本院急诊科收治的128例颌面部软组织缺损性创伤的临床资料进行统计，就创伤的原因、部位、缺损面积、治疗方法及效果等问题进行临床分析。结果：128例中，应用随意皮瓣修复缺损98例，占76.56%；轴型皮瓣修复30例，占23.44%。本组病例缺损面积最大者3.8 cm×3.2 cm，最小者1.5 cm×0.8 cm，均获得满意的整形治疗效果。结论：颌面部创伤严重威胁着人类的生命和健康，应用整形外科技术急诊治疗颌面部软组织缺损性创伤，有利于受损组织血运的恢复，提高了创伤的治疗效果。

关键词:  颌面部, 软组织, 缺损性创伤, 急诊治疗

CLC Number: 

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• R782.4