Lip laceration: Difference between revisions
(Created page with "==Background== *Be careful to line up vermilion border *Consider infraorbital block for upper lip, mental nerve block for lower lip ==Management== *1. Intraoral mucosal lacerati...") |
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*Be careful to line up vermilion border | *Be careful to line up vermilion border | ||
*Consider infraorbital block for upper lip, mental nerve block for lower lip | *Consider infraorbital block for upper lip, mental nerve block for lower lip | ||
*Antibiotics not required | |||
==Management== | ==Management== | ||
Revision as of 02:42, 28 March 2012
Background
- Be careful to line up vermilion border
- Consider infraorbital block for upper lip, mental nerve block for lower lip
- Antibiotics not required
Management
- 1. Intraoral mucosal laceration (isolated)
- Only need to close if >1cm
- Use absorbable 5-0 suture
- Avoid catching underlying muscle during suturing
- 2. Through-and-through laceration
- Close in layers:
- 1. Close mucosal layer w/ absorbable 5-0 suture
- 2. Close orbicularis oris muscle w/ 4-0 or 5-0 absorbable suture
- 3. Close skin w/ 6-0 nonabsorbable suture
- Close in layers:
- 3. 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
Source
- Tintinalli