Facial Lacerations. Controversies

Facial Lacerations. Controversies

July 8, 2009 | In: TRAUMA

CONTROVERSIES


14. What controversies exist regarding the care and repair of facial lacerations?



Show answer
There is little controversy about the care and repair of facial lacerations. Attention to basic principles of wound care usually produces a satisfactory scar. Because of the cosmetic considerations in facial trauma, primary repair in some instances is undertaken for the sake of appearance despite the risk of infection that would be deemed unacceptable in other areas of the body.

References
BIBLIOGRAPHY
1. Adame N Jr, Bayless P: Carotid arteriovenous fistula in the neck as a result of a facial laceration. J Emerg Med 16:575-578, 1998. Medline Similar articles Full article
2. Amiel GE, Sukhotnik I, Kawar B, Siplovich l: Use of N-butyl-2-cyanoacrylate in elective surgical incisions: Long-term outcomes. J Am Coll Surg 189:21-25, 1999. Medline Similar articles Full article
3. Farion KJ, Osmond MH, Hartling L, et al: Tissue adhesives for traumatic lacerations: A systematic review of randomized controlled trials. Acad Emerg Med 10:110-118, 2003.
4. Hollander JE, Richman PB, WerBlud M, et al: Irrigation in facial and scalp lacerations: Does it alter outcome? Ann Emerg Med 31:73-77, 1998. Full article
5. Keyes PD, Tallon JM, Rizos J: Topical anesthesia. Can Fam Physicians 44:2152-2156, 1998.
6. Mitchell RB, Nanez G, Wagner JD, Kelly J: Dog bites of the scalp, face, and neck in children. Laryngoscope 113:492-495, 2003.
7. Quinn J, Wells G, Sutcliffe T, et al: A randomized trial comparing octylcyanoacrylate tissue adhesive and sutures in the management of lacerations. JAMA 277:1527-1530, 1997. Medline Similar articles Full article
8. Simon HK, Zempsky WT, Burns TB, Sullivan KM: Lacerations against Langer’s lines: To glue or suture? J Emerg Med 16:185-189, 1998. Full article



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