Urgent message: Management of face and scalp lacerations requires an appreciation of the unique anatomy, sound repair technique, and consideration of patient expectations for cosmesis. Lacerations of the scalp and face are commonly seen in the urgent care setting. While these injuries can cause anxiety for both patient and practitioner, the basic tenets and techniques for repair are already well known. Following a systematic 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 decision making around management.
Management of Complex Facial Lacerations in the Emergency Department
We present the case of a year-old male who presented to the ED as a trauma activation who suffered multiple injuries including complex full-thickness lacerations to his face. While there are scenarios in which consulting a specialist is necessary, knowledge and application of basic wound closure principles allows for many complex lacerations to be repaired by EPs. We provide a helpful systematic approach to evaluating and treating complex facial lacerations in the ED. Approximately eight million patients present to emergency departments ED in the United States every year with laceration injuries. Given that laceration injuries represent a significant volume of ED visits, emergency physicians EP should be comfortable treating these injuries.
Repair of Lacerations of the Face and Scalp: Part 1
Trauma to the face is a devastating injury and can lead to permanent complications. Deep facial lacerations can cause damage to the muscle or bone and typically require extensive medical treatment. If you or a loved one has suffered facial lacerations in an accident as a result of someone else's negligence, you have the right to compensation. Reach out to our traumatic injury lawyers for free, friendly advice at Our experienced attorneys will investigate your case and help you get the maximum amount of compensation for your injuries.
A more recent article on laceration repair is available. Patient information: See related handout on taking care of healing cuts , written by the author of this article. Skin laceration repair is an important skill in family medicine.