Craniofacial trauma presenting at an adult accident and emergency department with an emphasis on soft tissue injuries

Ong, T.K.; Dudley, Melissa

doi:10.1016/s0020-1383(99)00101-1

Cited by 52 publications

(42 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, no set protocols for the type or severity of injury necessitating referral have been reported. 2,4 Key et al 6 confirmed that shelving injuries and localised tissue cyanosis were associated with delayed wound healing and poor aesthetic scarring. Recognition of these and similar features would help identify wounds likely to benefit from referral.…”

Section: Discussionmentioning

confidence: 99%

“…2,4 However, the role of nursing staff in the accident and emergency department continues to expand, with many regularly undertaking wound closure by a variety of methods, including suturing where appropriate.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Many patients are young adults with injuries resultant from falls or assaults and associated with alcohol consumption. [1][2][3] Up to 90% of facial soft tissue injuries have been estimated to be treated within the emergency department, with a wide variety of wound closure methods available to the clinician. 2,4 Despite the frequent presentation of facial wounds in the emergency department, the literature contains little evidence for their management and outcome.…”

mentioning

confidence: 99%

“…[1][2][3] Up to 90% of facial soft tissue injuries have been estimated to be treated within the emergency department, with a wide variety of wound closure methods available to the clinician. 2,4 Despite the frequent presentation of facial wounds in the emergency department, the literature contains little evidence for their management and outcome. The objective of this study was to undertake a survey of current management of adult facial soft tissue injuries presenting to UK accident and emergency departments.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Current Management of Facial Wounds in UK Accident and Emergency Departments

Allonby-Neve

Okereke

2006

annals

View full text Add to dashboard Cite

A 16-year-old male with a simple but dirty wound over the right cheek. B 23-year-old female with a complex wound to the lower lip. C 65-year-old male with an extensive laceration to the forehead. RESULTS There was a 76% response rate. Suturing was the preferred method of closure, with the majority of clinicians preferring 6/0 or 5/0 non-resorbable sutures. Use of a regional nerve block would be considered by a quarter of clinicians, and adrenaline vasoconstrictor by a third. Referral rates ranged from 5-77% for a more complex wound. Maxillofacial services were preferred by 51% of respondents; on-site referral availability was indicated by only 28%, with an average journey of 16 miles for treatment. Up to 30% of clinicians considered prescribing antibiotics after wound closure, with flucloxacillin and co-amoxiclav most commonly suggested. Accident and emergency review rates ranged from 16% to 45%, with most wounds either being referred to the GP or no formal review being suggested. EMERGENCYCONCLUSIONS The results of this survey suggest that there is considerable variation in the initial management, referral and review of facial wounds in the UK. Further work is required to formulate guidelines for optimal patient care, ideally in conjuncture with the receiving surgical specialties.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Current Management of Facial Wounds in UK Accident and Emergency Departments

Allonby-Neve

Okereke

2006

annals

View full text Add to dashboard Cite

show abstract

“…Soft-tissue defects are relatively common, accounting for nearly 10% of all emergency department visits in addition to causes previously examined (i.e., trauma, tumor resection) [66]. More than 100,000 breast reconstructions after mastectomy, and over 200,000 maxillofacial surgeries were performed in 2015 alone and it is predicted that there will be more than 12,000 new cases of soft-tissue sarcomas in the USA in 2016 [9,67].…”

Section: Ascs In Synthetic Scaffolds For Soft Tissue Regenerationmentioning

confidence: 99%

Strategies for Bioengineered Scaffolds that Support Adipose Stem Cells in Regenerative Therapies

et al. 2016

View full text Add to dashboard Cite

Regenerative medicine possesses the potential to ameliorate damage to tissue that results from a vast range of conditions, including traumatic injury, tumor resection and inherited tissue defects. Adult stem cells, while more limited in their potential than pluripotent stem cells, are still capable of differentiating into numerous lineages and provide feasible allogeneic and autologous treatment options for many conditions. Adipose stem cells are one of the most abundant types of stem cell in the adult human. Here, we review recent advances in the development of synthetic scaffolding systems used in concert with adipose stem cells and assess their potential use for clinical applications.

show abstract

Early Complications Following Facial Laceration Repair Performed by Emergency Physicians After One Year of Wound Closure Training

Yamamoto

Homma

Masuzawa

et al. 2018

AEM Education and Training

View full text Add to dashboard Cite

Objective: Facial lacerations, which are common in the emergency department, have usually been repaired by non-facial trauma specialists, such as emergency physicians. Given the ongoing discussion regarding quality assurance or the optimal training model on facial laceration repair for nonspecialists, we sought to determine the impact of a 1-year wound closure training provided to emergency physicians. We hypothesized a decrease in early complications following facial wound closure after the training.Methods: A retrospective observational study was conducted between 2013 and 2015 at an academic center.We included patients with isolated facial lacerations that were repaired by emergency physicians and reviewed by board-certified plastic surgeons during a follow-up visit. Patients whose wounds were not reviewed within 3 days were excluded. The 1-year training curriculum, which consisted of several sessions of lecture, hands-on practice, and case review, had been developed by a multidisciplinary team and provided to emergency physicians. Patient data were divided between nonparticipant and participant groups, and a propensity score was developed to estimate the probability of being assigned to the participant group. The incidence of early complications, defined as the need for additional suturing or resuturing due to wound dehiscence, was compared among the groups after propensity score matching.Results: Although 132 patients satisfied all the inclusion criteria, 11 were excluded due to delayed initial wound review. Among the 70 patients who were eventually included in the participant group, 40 were matched with those in the nonparticipant group. The incidence of early complications was significantly lower in the participant group than in the nonparticipant group (5.0% vs. 20.0%, odds ratio = 0.21, 95% confidence interval = 0.07-0.61, p = 0.04). Conclusions:The 1-year training provided to emergency physicians reduced the incidence of early complications following facial laceration repair. Accordingly, future wound closure training models should consider the 1-year training curriculum presented herein.

show abstract

Craniofacial trauma presenting at an adult accident and emergency department with an emphasis on soft tissue injuries

Cited by 52 publications

References 25 publications

Current Management of Facial Wounds in UK Accident and Emergency Departments

Current Management of Facial Wounds in UK Accident and Emergency Departments

Strategies for Bioengineered Scaffolds that Support Adipose Stem Cells in Regenerative Therapies

Early Complications Following Facial Laceration Repair Performed by Emergency Physicians After One Year of Wound Closure Training

Contact Info

Product

Resources

About