Guthrie plastic and reconstructive surgeons, along with the head and neck surgeons and maxillofacial surgeons address both soft tissue and boney injury from facial trauma. Depending on the severity of the injury, we may collaborate with neurosurgery or ophthalmology for the best outcomes. Our goal is to restore pre-trauma form and function. Treatments include:
- Skin grafts: a superficial portion of skin without blood supply taken to cover an open wound or defect.
- Bone grafts: bone without blood supply taken to fill in a small defect in a bony region.
- Plating systems: plates and screws made of titanium or a biodegradable material to stabilize bones or span a defect in the bone.
- Maxillomandibular fixation: “Wiring the jaw shut” temporarily to allow the fractured bone to heal in proper alignment.
- Local/regional flaps: flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle or only muscle to gain soft tissue coverage in areas with severely damaged soft tissue or expected radiation.
- Free flaps (microsurgery): flaps consisting of skin/subcutaneous fat, skin/subcutaneous fat/muscle, skin/subcutaneous fat/ muscle/bone, or only muscle or only bone that are disconnected from their blood supply and reconnected to the blood vessels near the defect to be filled.