Wound Management

Question 1

Which tongue lacerations do not require sutures

Answer 1

Linear less than 1 cm involving dorsal surface of tongue

Question 2

How to repair tongue lacerations when needed

Answer 2

4–0 absorbable suture. Make sure to suture deep to include muscular layer as well as surface. Wound edges should be approximated loosely to allow for swelling.

Instructed patients to use saline mouthwash, several times daily

Question 3

What type of dressing should you apply after auricular laceration repair?

Answer 3

Pressure dressing to prevent auricular haematoma

Question 4

Suture techniques for emergent hemostasis

Answer 4

Question 5

Absorbable suture table (mostly for reference)
How long do vicryl rapide sutures keep tensile strength

Answer 5

Question 6

How to close a stellate laceration

Answer 6

Question 7

Reasons to have ophthalmologist clothes and eyelid laceration?

Answer 7

Involves inner surface of the lid (a.k.a. full thickness), cross lid, margin, injury to lacrimal duct (6-8 mm from medial canthus), associated with ptosis, extending into tarsal plate

Question 8

Suture type for eyelid laceration

Answer 8

Six or seven–0 non-absorbable mono filament. Remove in three days.

Question 9

How to repair thick/deep lip lacerations

Answer 9

Question 10

When do you need to suit your intraoral lacerations? What type of suture?

Answer 10

When they are deep enough for food to get stuck
Use rapidly absorbing suture