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4.03 Lacerations of the Mouth


Presentation

Because of the rich vascularity of the soft tissues of the mouth, impact injuries often lead to dramatic hemorrhages that send patients to the emergency department with relatively trivial lacerations. Blunt trauma to the face can cause secondary lacerations of the lips, frenulum, buccal mucosa, gingiva, and tongue. Active bleeding has usually stopped by the time a patient with a minor laceration has reached the emergency department.

What to do:

What not wto do:

Discussion

Imprecise repair of the vermilion border will lead to a "step-off" or puckering that is unsightly and difficult to repair later on. Fortunately, the tongue and oral mucosa usually heals with few complicating infections and there is a low risk of subsequent tissue necrosis.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
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