Management of Traumatic Facial Soft Tissue Injuries: A Hospital-Based Retrospective Study

Objective: This study aimed to evaluate the demographic distribution, injury sites, and management strategies for soft-tissue facial trauma at a tertiary-care center, highlighting the role of timely reconstruction in achieving optimal functional and aesthetic outcomes. Methodology: A retrospective analysis was conducted at Government Medical College, Ongole, including patients presenting with isolated soft-tissue facial injuries between 2021 and 2023. Data on demographics, injury sites, wound types, and reconstructive modalities were collected and analyzed. Results: Among the 50 patients included, 34 (68%) were male, and 16 (32%) were female. Flap reconstruction was performed in 16 (32%) patients, primary closure in 13 (26%), delayed primary closure in 12 (24%), conservative management in seven (14%), and skin grafting in two (4%) (χ2 = 14.56, p = 0.006). Among flap reconstructions, advancement flaps were the most frequently used, accounting for eight (50%) cases (χ2 = 8.92, p = 0.031). Conclusion: Soft-tissue facial injuries were most commonly observed in young adult males, with road traffic accidents as the leading cause and lacerations as the predominant injury type. Flap reconstruction was the most frequently used management approach, particularly for complex defects, with local advancement flaps preferred. Timely and appropriate reconstruction played a key role in achieving satisfactory functional and aesthetic outcomes.