Name of the Procedure:

Closure of laceration, vestibule of mouth; over 2.5 cm or complex
Common Names: Mouth laceration repair, Oral laceration closure

Summary

In this procedure, a laceration (cut) in the mouth's vestibule (the area between the inner cheeks and teeth) is surgically closed. This is typically done to manage deep, long (over 2.5 cm), or complex cuts that cannot heal properly on their own.

Purpose

This procedure addresses significant lacerations in the mouth that may result from trauma, accidents, or injuries. The primary goal is to promote proper healing, reduce the risk of infection, and restore normal oral function.

Indications

• Deep lacerations over 2.5 cm in length
• Complex lacerations causing significant tissue damage
• Difficulty in natural healing
• Risk of infection or complications without surgical intervention
• Excessive bleeding from the site

Preparation

• Follow fasting guidelines if instructed, typically no food or drink 6-8 hours prior.
• Review and adjust certain medications as advised by your doctor (e.g., blood thinners).
• Pre-procedure assessments might include a physical examination and relevant imaging tests like X-rays.
• Notify your healthcare provider of any allergies, especially to anesthesia.

Procedure Description

1. The patient is typically given local anesthesia to numb the area, though sedation or general anesthesia may be used in complex cases.
2. The area around the laceration is cleaned and disinfected.
3. The edges of the laceration are carefully aligned and sutured together using fine surgical stitches.
4. In complex cases, layers of tissues might be individually repaired to ensure thorough healing.
5. The procedure concludes with the reassessment of the wound, followed by cleaning and possible application of a protective dressing.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the complexity and size of the laceration.

Setting

This procedure is generally performed in a hospital or outpatient surgical center.

Personnel

• Oral or maxillofacial surgeon
• Nursing staff
• Anesthesiologist (if sedation or general anesthesia is used)

Risks and Complications

• Infection at the wound site
• Scarring or poor cosmetic outcome
• Bleeding or hematoma formation
• Adverse reactions to anesthesia
• Delayed healing or wound reopening

Benefits

• Speeds up the healing process.
• Minimizes the risk of infection.
• Improves cosmetic and functional outcomes.
• Reduction in pain and discomfort over time.

Recovery

• Keep the wound clean and follow oral hygiene instructions.
• Use prescribed mouth rinses, if advised.
• Avoid strenuous activities and follow a soft diet for a specified period.
• Attend follow-up appointments for stitch removal and to monitor healing.
• Complete healing typically occurs within 1-2 weeks.

Alternatives

• Non-surgical wound care: Typically not recommended for complex or large lacerations.

• Use of tissue adhesive or steri-strips: May be suitable for smaller, less severe lacerations.

  Pros of Alternatives:

• Non-invasive options may involve less discomfort and quicker recovery time.

Cons of Alternatives:

• Higher risk of improper healing, infection, and poor functional or cosmetic outcomes for significant lacerations.

Patient Experience

• During the procedure: Patients will generally feel pressure or tugging, but pain should be minimal with proper anesthesia.
• After the procedure: Some soreness, swelling, and discomfort are normal. Pain management usually involves prescribed or over-the-counter pain medication.
• Comfort measures: Cold compresses and avoiding hot or spicy foods can help manage post-procedural discomfort.