Lacerations that involve the surface of the face may be repaired carefully using standard wound-care techniques. In general, facial lacerations are closed with 6-0 monofilament nylon simple interrupted sutures that are removed in 5 days. Tissue adhesive may be used in superficial wounds after proper irrigation. If there is significant tension, an underlying layer of 4-0 absorbable suture closure is indicated. Attention to underlying anatomic structures including the facial nerve and parotid gland is necessary7 (Fig, 3.8.-9). If these structures are involved, operative repair is indicated.
FIG. 38-9. Anatomic structures of the cheek. The course of the parotid duct is deep to a line drawn from the tragus of the ear to the midportion of the upper lip. Branches of the facial nerve: temporal (T), zygomatic (Z), bucial (B), mental (M), and cervical (C).
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