Evidence map›Paper›PMID 40125458›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Bridging Gaps in Surgical Care: Facial Trauma Management Through the Surgeons in Humanitarian Alliance for Reconstruction, Research, and Education Initiative.

Henok Tilahun, Matteo Laspro, Bashar A Hassan, Joyce K McIntyre, Amanda A Gosman, Donald Lalonde, Andrea L Pusic

Abstract readCase Reports
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Henok TilahunFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Matteo LasproHansjörg Wyss Department of Plastic Surgery, New York University Grossman School of Medicine, New York, NY.
Bashar A HassanDepartment of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD.
Joyce K McIntyreDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of Massachussets School of Medicine, Worcester, MA.
Amanda A GosmanDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of San Diego, San Diego, CA.
Donald LalondeDivision of Plastic and Reconstructive Surgery, Department of Surgery, Dalhousie University, Saint John, NB, Canada.
Andrea L PusicDivision of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Facial trauma presents a significant healthcare challenge in low- and middle-income countries (LMICs) due to limited access to specialized surgical care. This case report describes the management of a complex forehead degloving injury in a 20-year-old woman in Somalia, highlighting the role of remote surgical mentorship in resource-limited settings. The patient sustained a right forehead degloving injury in a motor vehicle collision, exposing a 3 × 5 cm segment of the frontal bone. Initial debridement resulted in a large soft-tissue defect, and the local surgical team faced challenges in selecting an optimal reconstructive approach due to limited experience and resources. The patient's aesthetic concerns further complicated decision-making. Through the Surgeons in Humanitarian Alliance for Reconstruction, Research, and Education program, the team sought virtual expert consultation via a secure WhatsApp platform. Based on expert recommendations, conservative management with daily Vaseline dressings was initiated to promote granulation tissue formation. Over 6 weeks, complete bone coverage was achieved, followed by full-thickness skin grafting, resulting in a satisfactory aesthetic outcome. This case demonstrates the value of global surgical networks in guiding complex reconstructions in LMICs, allowing local teams to deliver high-quality care despite resource constraints. Although short-term results were successful, long-term follow-up is necessary to assess functional and aesthetic durability. The success of this case underscores the importance of international collaborations in improving surgical education, patient outcomes, and sustainability of reconstructive techniques in LMICs.

Identifiers

PMID40125458
PMCPMC11927644

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.