Clinical Application of Moist Wound Healing Technique in the Repair of Facial Traumatic Wounds.

OBJECTIVE

To investigate the clinical efficacy of moist wound healing technique in the repair of facial traumatic wounds, and to evaluate its impact on the wound healing process, incidence of complications, as well as long-term scar formation and pigmentation, so as to provide clinical evidence for standardized wound care of facial traumatic injuries.

METHODS

A total of 60 patients with facial trauma admitted to our hospital from January 2024 to March 2025 were retrospectively enrolled as study subjects. They were divided into the observation group (moist wound healing group, n=30) and the control group (conventional dry wound healing group, n=30) according to the wound management protocol. The control group received conventional wound care with povidone-iodine disinfection combined with dry dressing, while the observation group was treated with a standardized wound care regimen based on the concept of moist wound healing. The wound healing time, epithelial migration rate, incidence of complications, as well as the occurrence of scar hyperplasia, pigmentation, and wound hyperemia after surgery were compared between the 2 groups.

RESULTS

The wound healing time of the observation group was significantly shorter than that of the control group, and the epithelial migration rate of the wound at 3 days after surgery was significantly faster than that of the control group, with statistically significant differences (P<0.001). The total incidence of complications, including wound infection, delayed healing, subscab pus accumulation, and wound dehiscence after suture removal, was 10.00% in the observation group, which was significantly lower than 33.33% in the control group (P<0.05). During the postoperative follow-up of 6 to 12 months (mean: 10 mo), the Vancouver Scar Scale (VSS) scores of the observation group were significantly lower than those of the control group, and the incidence rates of hyperpigmentation and wound hyperemia were lower than those of the control group.

CONCLUSION

The application of moist wound healing technique in facial trauma repair can effectively accelerate the re-epithelialization process of wounds, reduce the risk of wound complications, significantly diminish long-term scar hyperplasia, and reduce the incidence of postoperative hyperpigmentation and wound hyperemia, thus improving the facial aesthetic prognosis of patients. It is a safe, effective, and cost-effective regimen for facial trauma repair, which is worthy of widespread clinical promotion.