DOI: https://doi.org/10.36347/sjmcr.2026.v14i08.018

Pages: 1842-1846

Post-traumatic facial soft-tissue loss is a challenging condition in maxillofacial surgery because it may affect both essential functions and facial aesthetics. This prospective descriptive study aimed to analyze the epidemiological, clinical, and therapeutic characteristics of post-traumatic facial soft-tissue loss and to assess early morpho-functional outcomes. The study was conducted from March to September 2025 in the Department of Stomatology, Maxillofacial and Aesthetic Surgery at CHU Mohammed VI, Ibn Tofail Hospital, Marrakech. All consecutive patients admitted for post-traumatic facial soft-tissue loss and managed in the department were included; defects of tumoral or infectious origin were excluded. Fifty-six patients were included. The mean age was 30.9 years, with a range of 2 to 85 years. Men predominated, accounting for 46 patients (82.1%), and road traffic accidents were the main mechanism, observed in 49 cases (87.5%). The most frequent locations were the isolated frontal region, the isolated labial region, and the fronto-eyebrow region. Muscular involvement was found in 37 patients (66.1%), and bone exposure was present in 14 patients (25.0%). Primary closure was the most commonly used technique, performed in 47 patients (83.9%), followed by directed secondary healing, skin grafting, and local flap coverage. Early complications included wound dehiscence and cutaneous necrosis, while late complications mainly included ectropion and scar contracture. A stepwise reconstructive strategy based on careful debridement, tissue preservation, and appropriate coverage provided satisfactory early functional and aesthetic outcomes in most patients.