ABSTRACT
The management of facial soft tissue injuries is a critical component of trauma care. There is a great variability in complexity, ranging from superficial injuries that require simple approximation to injuries that involve vital structures and extensive reconstruction. The number of bacteria present in the wound is more important than the type of bacteria in causing infections. The evaluation of facial soft tissue injury begins in the secondary trauma survey after the patient is in stable condition. The use of undiluted hydrogen peroxide as an irrigant should be avoided as it inhibits wound healing and may cause tissue necrosis. Primary wound closure should be attempted if feasible. Wounds should be closed in layers to place minimum tension on the superficial skin closure and aid in the eversion of skin edges to minimise scar widening.
