Facial Laceration

Lacerations of the scalp and face are commonly seen within the urgent care setting. While these injuries can cause anxiety for both patient and practitioner, the essential tenets and techniques for repair are already documented . Following a scientific approach and appreciating the unique anatomic considerations of the face will allow the urgent care practitioner to manage these wounds confidently and with optimal results. In addition to applying a sound technical approach to repair, understanding and responding to patient expectations and concerns are an important part of the evaluation and management of these injuries. Because disfiguring facial lacerations can cause significant emotional and psychological problems, long-term cosmesis must be a central component of deciding around management.In this two-part series, we'll review the approach to the face and scalp wounds most ordinarily seen within the urgent care setting. Anatomic considerations that influence the evaluation and management of those injuries also are going to be explored, as will identification of the steps necessary for an optimal repair. The skin in the area of we wound may turn a different color if it is exposed to direct sunlight. After our wound is healed, use sunscreen over the area when we are out in the sun. We should do this for at least 6 months to 1 year after our injury. Some wounds scar less if they're covered while they heal.    

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