title: [Early management of scrape and denuding injuries of the face after bicycle accidents. Prevention of scar ectropion].
abstract: Bicycle accidents may cause typical skin defects in the maxillary area if the unprotected face of the bicyclist hits the ground. Cicatricial ectropion is a frequent result. We report on 22 patients with facial skin defects after bicycle accidents and demonstrate a new concept for early treatment of facial skin abrasions and skin defects. Transtarsal traction sutures, temporary closure of skin defects by synthetic skin, and delayed free-skin grafting can prevent cicatricial ectropion even in large skin defects extending beyond the orbital margin. The overall time for treatment is significantly reduced.
authors.affiliation: Universitäts-Augenklinik Freiburg.
authors.forename: H
authors.initials: H
authors.lastname: Mittelviefhaus
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001265:Athletic Injuries / Q000601:surgery*; D001642:Bicycling / Q000293:injuries*; D002648:Child; D002921:Cicatrix / Q000517:prevention & control*; D004483:Ectropion / Q000517:prevention & control*; D005143:Eyelids / Q000293:injuries / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods; D013536:Suture Techniques
vernacular_title: Frühbehandlung von Abschürfungs und Ablederungsverletzungen des Gesichts nach Fahrradunfällen. Vorbeugung von Narbenektropien.