Complex Facial Reconstruction after Severe Facial Trauma Due to a Work Accident. Case Study

Eugen Gabriel Turcu, Matei Gheorghiu Branaru, Andrei Rugina

Citation: Eugen Gabriel Turcu, Matei Gheorghiu Branaru, Andrei Rugina, "Complex Facial Reconstruction after Severe Facial Trauma Due to a Work Accident. Case Study", Universal Library of Medical and Health Sciences, Volume 02, Issue 02.

Copyright: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The article refers to a case of complex facial reconstruction after a serious facial trauma following a work accident. The 62-year-old patient was urgently admitted to the clinic following a complex facial trauma secondary to a work accident. At the time of admission, a CT scan of the skull, chest, abdomen, blood tests, cardiology, neurosurgery, otorhinolaryngology, bucomaxillofacial and ophthalmology evaluations are carried out. Emergency surgery was performed after performing paraclinical and laboratory investigations following the therapeutic protocol for polytraumatized patients. 2 months postoperatively, the reconstructive surgical treatment continued with the treatment of post-traumatic sequela of the right upper eyelid. The result obtained at this moment is considered very good from a functional and aesthetic point of view. A new assessment from an aesthetic point of view will be carried out again 9 months postoperatively when the appropriateness of a surgical intervention for aesthetic purposes will be decided. In complex facial traumas, reconstructive surgical interventions are performed in stages, starting from the emergency and continuing over the following months until a maximal functional and aesthetic result is obtained. Facial reconstruction is complex and involves, depending on the case, the bone, muscle, nerve and skin structures, with the sole purpose of obtaining an adequate function and an aesthetic appearance as best as possible.

Keywords: Facial Trauma, Facial Reconstruction, Lagophtalmy, Emergency Plastic Reconstructive Surgery