THE THAI JOURNAL OF TRAUMA

A scarless approach to mitigate external wound complications in Nasomaxillary fracture patients: Case report

Chidpong Siritongtaworn — 2025-06-30

Nasomaxillary fractures, which involve the nasal bone, maxillary frontal process, and anterior maxilla, present both cosmetic and functional difficulties due to their central anatomical location and vulnerability to injury. Conventional method, subciliary incisions, may lead to negative outcomes including scarring, changes in pigmentation, and ectropion. To mitigate these issues, we utilize closed endonasal reduction with fixation of the nasal bone to the maxilla employing a straight instrument through the gingivobuccal approach, ensuring proper anatomical alignment while safeguarding the infraorbital nerve, thus enhancing results for patients who have risk factors like poor wound healing or Fitzpatrick skin type V. Postoperative evaluations revealed a successful restoration of nasal shape, airflow, and patient satisfaction without any visible external scarring. This method underscores the importance of customized surgical planning, particularly for patients with a higher risk of scarring, and demonstrates the effectiveness of the straight instrument gingivobuccal approach as an alternative to traditional technique.

A case report of the trauma patient who has complex abdominal wall reconstruction by using the posterior component separation with transversalis abdominis release technique

Lertpong Somcharit — 2025-06-30

Posterior component separation with transversus abdominis release is a technique that corrects complex abdominal wall defects. Many studies have proven that it has lower recurrence and surgical site infection rates. This technique has become popular in the large complex ventral hernia reconstruction. There is less data to use this technique in trauma patients who have complex abdominal wall defects. This is a report of the trauma case receiving posterior component separation with transversus abdominis release technique for chronic ventral hernia after blunt abdominal injury with multiple organ trauma. Techniques and procedures are explained, along with relevant literature.

Road Traffic Injuries (RTIs) Resulting in Early Death in the Emergency Room at Khon Kaen Hospital During the COVID-19 Pandemic: A Descriptive Study

Ploytip Jansiriyotin — 2025-06-30

Objectives: To define the epidemiologic characteristics and results of early RTI death during COVID-19 era

Methods: This retrospective, descriptive study was conducted from Khon Kaen hospital injury surveillance (IS) online trauma registry during 2018 and 2022. The inclusion criteria were victims who survived from scene and were sent to emergency room (ER) and died at ER.

Results: There were 99 total death. Most common vehicle crash was motorcycles (82.95%). Scene time was 41 minutes.

Conclusions: COVID-19 era affects in gradually increasing scene time