Rebecca Gardella, Alyssa D Reese, Jhobani Torres-Gomez, Phavon Sage, Rena Atayeva, Kerry P Latham, Richard Tyrell
{"title":"面部自残枪伤的表现和处理。","authors":"Rebecca Gardella, Alyssa D Reese, Jhobani Torres-Gomez, Phavon Sage, Rena Atayeva, Kerry P Latham, Richard Tyrell","doi":"10.1055/s-0044-1801409","DOIUrl":null,"url":null,"abstract":"<p><p>Self-inflicted gunshot wounds (SI-GSW) to the head and face are associated with significant morbidity and mortality. Patients who do survive their injuries often face life-altering disfigurement and disability. To effectively care for these patients, providers must not only detect and address the immediate life-threatening injuries, but also plan for long-term definitive reconstruction. This review provides an overview of presentation and management of SI-GSW to the face, including initial stabilization and workup, assembly of a multidisciplinary care team, surgical reconstruction of soft tissue and bony defects, and long-term management to address aesthetic and functional goals. Emphasis is placed on the role of plastic and reconstructive surgeons in SI-GSW reconstruction; however, a better understanding of these complex injuries and their management can help all health care providers better optimize care for this high-risk population.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"19-27"},"PeriodicalIF":2.3000,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945221/pdf/","citationCount":"0","resultStr":"{\"title\":\"Presentation and Management of Self-Inflicted Gunshot Wounds to the Face.\",\"authors\":\"Rebecca Gardella, Alyssa D Reese, Jhobani Torres-Gomez, Phavon Sage, Rena Atayeva, Kerry P Latham, Richard Tyrell\",\"doi\":\"10.1055/s-0044-1801409\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Self-inflicted gunshot wounds (SI-GSW) to the head and face are associated with significant morbidity and mortality. Patients who do survive their injuries often face life-altering disfigurement and disability. To effectively care for these patients, providers must not only detect and address the immediate life-threatening injuries, but also plan for long-term definitive reconstruction. This review provides an overview of presentation and management of SI-GSW to the face, including initial stabilization and workup, assembly of a multidisciplinary care team, surgical reconstruction of soft tissue and bony defects, and long-term management to address aesthetic and functional goals. Emphasis is placed on the role of plastic and reconstructive surgeons in SI-GSW reconstruction; however, a better understanding of these complex injuries and their management can help all health care providers better optimize care for this high-risk population.</p>\",\"PeriodicalId\":48687,\"journal\":{\"name\":\"Seminars in Plastic Surgery\",\"volume\":\"39 1\",\"pages\":\"19-27\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-03-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945221/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Seminars in Plastic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/s-0044-1801409\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/s-0044-1801409","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
Presentation and Management of Self-Inflicted Gunshot Wounds to the Face.
Self-inflicted gunshot wounds (SI-GSW) to the head and face are associated with significant morbidity and mortality. Patients who do survive their injuries often face life-altering disfigurement and disability. To effectively care for these patients, providers must not only detect and address the immediate life-threatening injuries, but also plan for long-term definitive reconstruction. This review provides an overview of presentation and management of SI-GSW to the face, including initial stabilization and workup, assembly of a multidisciplinary care team, surgical reconstruction of soft tissue and bony defects, and long-term management to address aesthetic and functional goals. Emphasis is placed on the role of plastic and reconstructive surgeons in SI-GSW reconstruction; however, a better understanding of these complex injuries and their management can help all health care providers better optimize care for this high-risk population.
期刊介绍:
Seminars in Plastic Surgery is a quarterly review journal that publishes topic-specific issues covering all areas of aesthetic and reconstructive plastic surgery. The journal''s scope includes issues devoted to breast reconstruction, rhinoplasty, lipogenesis and lipoplasty, craniomaxillofacial trauma, and all other major plastic surgery procedures.
The journal also covers such emerging areas as free tissue transfer, lasers, endoscopic facial plastic procedures, as well as all the related technologies associated with these techniques.