Lip laceration: Difference between revisions
| Line 8: | Line 8: | ||
==Management== | ==Management== | ||
*Antibiotics not required | *Antibiotics not required | ||
*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 [[Nerve Block: Infraorbital]] for upper lip, [[Nerve Block: Mental]] for lower lip | |||
**Consider marking vermillion border prior to infiltration of anesthetic to facilitate repair | **Consider marking vermillion border prior to infiltration of anesthetic to facilitate repair | ||
Revision as of 21:28, 19 June 2015
Background
Clinical Features
Differential Diagnosis
Diagnosis
Management
- Antibiotics not required
- Vermillion border and philtrum architecture must be maintained for cosmesis
- Infiltration of local anesthetic can distort soft tissue
- Consider Nerve Block: Infraorbital for upper lip, Nerve Block: Mental for lower lip
- Consider marking vermillion border prior to infiltration of anesthetic to facilitate repair
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:
- Close mucosal layer w/ absorbable 5-0 suture
- Irrigate from outside
- Close orbicularis oris muscle w/ 4-0 or 5-0 absorbable suture
- Close skin w/ 6-0 nonabsorbable suture
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
Disposition
See Also
External Links
References
- Rosens Chapter 42 - Facial Trauma