Injuries of Soft Tissues

By Dr. Vishaal Bhat on Tuesday 20 November 2007 with 0 comments



A wound is a damage of integrity of the skin or mucous tissue. A harm may be either on the surface (bruises) or deep. At simple wounds, the skin or mucosa together with subcutaneous or submucosal ligaments are damaged, respectively. Deep tissues and structures (muscles, bones, vessels, nerves and others) get impaired in cases of complicated wounds. Wounds get always infected.

They can be divided into the following types:

Incised wounds

These wounds posses sharp and smooth edges which can be easily sutured and heal well. If too deep, these cuts bleed extensively due to broken blood vessels.

Blunt wounds

Occur as a result of injury by a blunt object or by falling onto blunt edges or rims. Broken tissues have irregular jagged edges, often bruised. Only obviously necrotic parts should be removed due to a good healing ability of the face. Suturing is more difficult and healing takes longer time, administration of antibiotics is necessary. Stiff scars often appear, requiring later correction.

Punctured and cut wounds

These wounds are caused by a sharp object and are usually deep, often associated with damages to important organs (eyes, salivary glands etc.).



Defective wounds

result from a gunshot or explosion. Large wounds cannot be corrected by a primary closure, rather by “inwreathing” wound edges . A defective wound may also be caused by biting.

Burns

Burns are serious injuries that can be divided into four stages. The most important action is to start “icing” immediately after burning. Icy water or ice cubes are put into a clean container and compressions are applied onto an affected area and replaced frequently. This treatment should continue in a hospital, although under aseptic conditions.

Category: Oro-Maxillo Facial Surgery Notes

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