RESUMO
The principles of assessment and repair of soft tissue trauma of the face are outlined. The importance of an adequate preoperative evaluation is emphasized. Recognizing lesions in the deep vital structures is extremely important in the initial approach to these patients. The postoperative care and the best management of the sequelae are described.
Assuntos
Traumatismos Faciais/cirurgia , Lesões do Pescoço/cirurgia , Lesões dos Tecidos Moles/cirurgia , Traumatismos Faciais/diagnóstico , Humanos , Lesões do Pescoço/diagnóstico , Lesões dos Tecidos Moles/diagnóstico , Fatores de TempoRESUMO
A new method of repairing excisional wounds in the face, trunk, and extremities is demonstrated. The rhomboid W-W-Z-plasty approach is an evolution of the double-Z rhomboid plasty already published. The authors have recognized its value in covering even large defects. The W-W-Z rhomboid plasty adds new gains to the repair of excisional wounds such as skin-sparing resection, fewer scars, less deformity, and a desirable resulting z-shaped scar. The surgical technique and an illustrative case are described.