Lip laceration: Difference between revisions
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==Background== | ==Background== | ||
*Be careful to line up vermilion border | *Be careful to line up vermilion border | ||
*Consider | *Consider [[Nerve Block: Infraorbital]] for upper lip, [[Nerve Block: Mental]] for lower lip | ||
*Antibiotics not required | *Antibiotics not required | ||
Revision as of 21:32, 31 December 2013
Background
- Be careful to line up vermilion border
- Consider Nerve Block: Infraorbital for upper lip, Nerve Block: Mental 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