Management of Lacerated Wounds Due to Trauma Saws Machine (Chainsaw): Case Report

Endang Sjamsudin, Harmas Yazid Yusuf, Eka Marwansyah, Cahyono Yudianto, Fauzan Akmal, Rachendra Pratama, Bambang Hudiworo KD

Abstract: Injury due to work accidents caused by a chainsaw rarely occurs on the face. The wound can be irregular and disrupt facial aesthetics. In this case report, a 60-year-old male patient came to the ER of Hasan Sadikin Hospital Bandung with complaints of bleeding from the mouth and face due to being hit by a chainsaw while working. Irregular soft tissue open sores in the left zygoma region, lacerations in the zygoma, bilateral commissural lip, lower lip penetrating the oral vestibule cavity. Treatments include wound debridement, reconstruction, and wound closure. Facial reconstruction of the face must be considered in rearranging anatomical landmarks, muscle, and sensory functions. In this patient, simple reconstruction was performed with tissue dissection and rotation. The results show improvement, and there is no infection.

Keywords: Lacerated Wounds, debridement, reconstruction, Chainsaw