The management of soft tissue facial wounds

Key, Stephen; Thomas, David W.; Shepherd, Jonathan

doi:10.1016/0266-4356(95)90204-x

Cited by 57 publications

(30 citation statements)

References 6 publications

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“…However, no set protocols for the type or severity of injury necessitating referral have been reported. 2,4 Key et al 6 confirmed that shelving injuries and localised tissue cyanosis were associated with delayed wound healing and poor aesthetic scarring. Recognition of these and similar features would help identify wounds likely to benefit from referral.…”

Section: Discussionmentioning

confidence: 97%

“…6 Use of a regional block allows more distant administration of local anaesthetic and may also reduce the total quantity of local anaesthetic required. 6,7 Specific regional blocks around the face can be given to anaesthetise the supraorbital nerve innervating the forehead, the infra-orbital nerve innervating the cheek and the mental nerve supplying the tissues of the lower lip.…”

Section: Discussionmentioning

confidence: 99%

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Current Management of Facial Wounds in UK Accident and Emergency Departments

Allonby-Neve

Okereke

2006

annals

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A 16-year-old male with a simple but dirty wound over the right cheek. B 23-year-old female with a complex wound to the lower lip. C 65-year-old male with an extensive laceration to the forehead. RESULTS There was a 76% response rate. Suturing was the preferred method of closure, with the majority of clinicians preferring 6/0 or 5/0 non-resorbable sutures. Use of a regional nerve block would be considered by a quarter of clinicians, and adrenaline vasoconstrictor by a third. Referral rates ranged from 5-77% for a more complex wound. Maxillofacial services were preferred by 51% of respondents; on-site referral availability was indicated by only 28%, with an average journey of 16 miles for treatment. Up to 30% of clinicians considered prescribing antibiotics after wound closure, with flucloxacillin and co-amoxiclav most commonly suggested. Accident and emergency review rates ranged from 16% to 45%, with most wounds either being referred to the GP or no formal review being suggested. EMERGENCYCONCLUSIONS The results of this survey suggest that there is considerable variation in the initial management, referral and review of facial wounds in the UK. Further work is required to formulate guidelines for optimal patient care, ideally in conjuncture with the receiving surgical specialties.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Current Management of Facial Wounds in UK Accident and Emergency Departments

Allonby-Neve

Okereke

2006

annals

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“…Small size monofilament sutures are generally recommended for suturing of facial lacerations. 4 Steristrips are commonplace for the more superficial wounds and were administered by all the non-medical staff. Topically applied glue was not a particularly popular technique, only being used by nine of the 37 personnel that expressed a preference, and of these two were non-medically qualified.…”

Section: Discussionmentioning

confidence: 99%

The management of facial injuries in rugby union

Hayton¹

2004

Br J Sports Med

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Background: There are as yet no guidelines in rugby union for the management of facial lacerations which account for one-third of total injuries sustained by players. Method: We devised a questionnaire to establish the current standards in rugby union clubs in England.The questionnaire covered such issues as inadequate wound cleansing, inappropriate suture material, the use of sterile suture equipment, and advice required for suture removal. Results: We recommend that a dedicated medical room should be available in all clubs, the doctor should always wear gloves, and local anaesthetic and sterile suture packs and instruments should be provided.

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“…The practical difficulties involved in wound healing like involvement of more than one type of tissue, variable wound strength during the process of healing, exposure of the biomaterials to body fluids and a variety of wounds, each with its own healing problems, call for different types of wound closure materials [1,2,3] . Multiple studies have shown equivalence of octyl cyanoacrylate to 5-0 skin sutures in esthetic facial surgery and repair of traumatic facial wounds [4,5] .…”

Section: Discussionmentioning

confidence: 99%