Facial lacerations

1
Facial lacerations
2
Lines of skin tension
3
Curvilinear forehead flap will become edematous,
unsightly bulge
4
Undermine superior flap, excise superficial
fascia, then close with half buried hoizontal
mattress
5
Superficial cheek structures of importance
Facial nerve, Parotid Duct
6
Central tongue laceration, no suture required
7
Lateral tongue lac. Close with silk, large bites
to include mucosa and 1/2 thickness of muscular
tongue
8
Superfical lip laceration, single layer closure,
vermillion border approximated 1st
9
Through and Through lip lac, close lip muscle
separately, then vermillion and skin, close
mucosa if longer than 2 cm,
10
Anchor gingival flaps around teeth