Name of the Procedure:

Simple Repair of Superficial Wounds of the Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes (12.6 cm to 20.0 cm)
Commonly referred to as facial wound repair or suturing of facial lacerations.

Summary

This procedure involves the meticulous stitching of superficial lacerations on the face, ears, eyelids, nose, lips, and mucous membranes, particularly when the total wound length ranges from 12.6 cm to 20.0 cm. It aims to close the wound, promote healing, and minimize scarring.

Purpose

This procedure addresses cuts, tears, or lacerations on the face and nearby areas. The goals include:

• Preventing infection
• Promoting proper wound healing
• Minimizing scarring and preserving the function and aesthetics of facial features

Indications

• Superficial lacerations or cuts within the specified length (12.6 cm to 20.0 cm) on the face or nearby structures.
• Patients with facial injuries that require precise closure to avoid significant scarring or functional impairment.

Preparation

• Clean the wound thoroughly to remove any debris.
• Administer a tetanus shot if necessary.
• The patient may need to refrain from eating or drinking for a few hours before the procedure if sedation is planned.
• Local anesthesia will generally be discussed with the patient, outlining any required pre-procedure adjustments.

Procedure Description

1. Cleaning: The wound and surrounding area are cleansed with an antiseptic solution.
2. Anesthesia: Local anesthesia is administered to numb the area.
3. Debridement: Any dead tissue or foreign materials are removed if necessary.
4. Suturing: The wound edges are carefully aligned and sutures are placed to close the wound, often using fine, non-absorbable sutures for facial tissues.
5. Dressing: A sterile dressing is applied to protect the wound.

Duration

• The procedure typically takes 30 to 60 minutes, depending on the complexity of the wound.

Setting

• This procedure is usually performed in an outpatient clinic, emergency room, or surgical center.

Personnel

• A physician or surgeon (often with specialization in plastic surgery, dermatology, or emergency medicine).
• Nurses or medical assistants for preparation and post-procedure care.
• An anesthesiologist if sedation beyond local anesthesia is needed.

Risks and Complications

• Infection
• Bleeding
• Scarring or keloid formation
• Wound dehiscence (reopening of the wound)
• Skin discoloration or abnormal healing

Benefits

• Timely intervention can prevent further complications and infection.
• Proper alignment and closure of the wound can significantly reduce scarring and restore the normal appearance of facial features.
• Enhanced wound healing due to precise suturing.

Recovery

• Follow-up care includes keeping the wound clean and dry, and changing dressings as advised.
• Avoid strenuous activities that may strain the wound area.
• Stitches are typically removed within 5 to 7 days.
• Patients may need to attend follow-up appointments to monitor healing.

Alternatives

• Adhesive strips or skin glue: For smaller or less severe wounds.
  • Pros: Less invasive, no need for suture removal.
  • Cons: May not be as effective for longer or more complex lacerations.
• Staples: Used more for scalp or non-facial wounds.
  • Pros: Quick application.
  • Cons: May leave more noticeable scars, less optimal for facial areas.

Patient Experience

• During the procedure, the patient will feel an initial sting from the anesthetic, but should not feel pain during suturing.
• Mild discomfort or throbbing may occur as the anesthesia wears off.
• Pain management typically involves over-the-counter pain relievers.
• Patients should follow post-procedure care instructions to ensure proper healing and minimize scarring.