Lip laceration: Difference between revisions
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==Background== | |||
==Clinical Features== | |||
==Differential Diagnosis== | |||
==Diagnosis== | |||
==Management== | ==Management== | ||
*Consider [[Nerve Block: Infraorbital]] for upper lip, [[Nerve Block: Mental]] for lower lip | *Consider [[Nerve Block: Infraorbital]] for upper lip, [[Nerve Block: Mental]] for lower lip | ||
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#*Then repair rest of lip in usual manner | #*Then repair rest of lip in usual manner | ||
==Special Considerations== | ===Special Considerations=== | ||
*Vermillion border and philtrum architecture must be maintained for cosmesis | *Vermillion border and philtrum architecture must be maintained for cosmesis | ||
*Infiltration of local anesthetic can distort soft tissue | *Infiltration of local anesthetic can distort soft tissue | ||
**Consider marking vermillion border prior to infiltration of anesthetic to facilitate repair | **Consider marking vermillion border prior to infiltration of anesthetic to facilitate repair | ||
==Disposition== | |||
==See Also== | |||
==External Links== | |||
==References== | ==References== | ||
*Rosens Chapter 42 - Facial Trauma | *Rosens Chapter 42 - Facial Trauma | ||
<references/> | <references/> | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 21:20, 19 June 2015
Background
Clinical Features
Differential Diagnosis
Diagnosis
Management
- Consider Nerve Block: Infraorbital for upper lip, Nerve Block: Mental for lower lip
- Antibiotics not required
- Intraoral mucosal laceration (isolated)
- Only need to close if >1cm
- Use absorbable 5-0 suture
- Avoid catching underlying muscle during suturing
- Through-and-through laceration
- Close in layers:
- 1. Close mucosal layer w/ absorbable 5-0 suture
- 2. Irrigate from outside
- 3.Close orbicularis oris muscle w/ 4-0 or 5-0 absorbable suture
- 4. Close skin w/ 6-0 nonabsorbable suture
- Close in layers:
- Vermilion border laceration
- Place 1st stitch w/ 6-0 nonabsorbable suture to align edges of vermilion border
- Then repair rest of lip in usual manner
Special Considerations
- Vermillion border and philtrum architecture must be maintained for cosmesis
- Infiltration of local anesthetic can distort soft tissue
- Consider marking vermillion border prior to infiltration of anesthetic to facilitate repair
Disposition
See Also
External Links
References
- Rosens Chapter 42 - Facial Trauma