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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Cranial Nerve VI Palsy Emergency

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miércoles, 25 de mayo de 2016

Minor Facial Trauma: Part I

NUEM Blog
Citation: [Peer-Reviewed, Web Publication] Reuter Q, Macias M (2016, May 24). Quick Guide To Minor Facial Trauma: Part I. [NUEM Blog. Expert Commentary by Levine M]. 
"In the emergency department, we commonly encounter minor injuries to the face and mouth. In a two part series, we will provide a short overview of some helpful strategies for dealing with these cosmetically sensitive injuries in an effective manner.
Core facial laceration management principles
  • Cosmesis is very important to consider when deciding on closure of facial lacerations thus primary closure should be considered in all facial lacerations unless significant tissue loss or swelling is present.
  • Injury to important underlying structures of the face should always be ruled out and proper physical exam & consultation should be considered when appropriate. 
  • The facial skin has an abundant blood supply and as a result lacerations can be repaired up to a day after the injury occurred without a high risk of subsequent infection.
  • Facial nerve blocks should be considered to obtain anesthesia for lacerations that cross important facial creases or borders to avoid distortion of anatomy.
  • Proper alignment of the vermillion border or facial crease affected by a laceration is critical to avoid obvious cosmetic defects.
  • Sutures on the face should be placed approximately 1-2 mm from the skin edge and 3 mm apart to achieve optimal tissue approximation.
  • Hair does not increase in the risk of wound infection and shaving (such as the scalp or eyebrow) should be avoided."