颌面部爆炸冲击伤常导致大量的异物存留在伤区的皮肤中,去除非常困难。目前,这类颌面部创伤性皮肤异物去除的方法主要包括清洗消毒、锐器挑开剔除、激光术和磨削术等。但这些方法多为二期治疗,对异物清除的效果欠佳,均有文身样瘢痕。本文介绍了以上主要的清创术的进展,希望为临床治疗提供信息。 Maxillofacial explosive impact injury often leads to a large number of foreign body remaining in the skin of the injured area, removal is very difficult. At present, such maxillofacial traumatic skin foreign body removal methods include cleaning and disinfection, sharps pick and place removal, laser surgery and grinding and so on. However, these methods are mostly for the second phase of treatment, the effect of foreign body removal is poor, there are tattoos like scars. This article describes the progress of the above debridement, hoping to provide information for clinical treatment.