To summarize the clinical experience of using plastic surgical technique regional repair of facial trauma in stage Ⅰ.

Clinical data of 17 patients with facial trauma admitted to Department of Plastic Surgery, First Affiliated Hospital of Air Force Military Medical University from September 2016 to February 2020 were retrospectively analyzed, including gender, age, injury cause and wound involvement site. After the evaluation of the patient′s condition, surgical methods such as direct layer to layer suturing, in situ replantation and reverse graft replantation were used to repair the wound after thorough debridement under local or general anesthesia. And relevent symptomatic support was given after the operation to prevent the occurrence of complications. One year after operation, the patients were followed up by face-to-face consultation to evaluate the hyperplasia of scar, the presence of obvious deformity and fill in the patient satisfaction questionnaire.

All patients were repaired in stage I. The patient satisfaction was 88.2%. Wound healing was performed in 16 patients without infection, hematoma, skin flap necrosis and other adverse reactions. Local skin flap necrosis occurred in one patient with complete avulsion of the nose and recovered after dressing change. In the late follow-up, 14 patients had small or inconspicuous scar and no obvious deformity. One patient presented with upper eyelid shrinkage.Partial defect of right alar nose occurred in 1 case.

Facial trauma is complex and involves multiple facial regions. After early stabilization of vital signs, according to the complexity of the injury and the important structures involved, satisfactory repair results can be obtained by following the principle of repair from easy to difficult and regional repair in the department of plastic surgery.