Transfixing Laceration on Chin Region: Case Report
DOI:
https://doi.org/10.21270/archi.v13i6.6177Keywords:
Facial Injury, Suture, HealingAbstract
Facial lacerations correspond to cutting or perforating damage to the epithelial structure involving large extensions and depths, being one of the most common problems found in emergency units. Treatment varies according to the extent, depth, degree of contamination, etiology and time elapsed since the trauma, which is a fundamental factor in defining the outcome. The objective of this work is to direct the best conduct to the oral and maxillofacial surgeon, through a case report of a patient with transfixing laceration in the face, taking into account the relevance of the aesthetic, functional and psychological aspects involved. The case report to be addressed is of a male patient, 59 years old, who was admitted to the University Hospital Maria Aparecida Pedrossian, 24 hours after the episode of accident due to animal kicking. The involvement occurred in the anterior region of the mandible, presenting a transfixing laceration in the mental region with necrotic areas of approximately 3 cm in length, in addition to another laceration in the submental region already sutured in a Basic Health Unit. There was communication of the laceration on oroscopy and no steps on palpation, nor bone mobility, a condition confirmed by computed tomography. The treatment was performed under local anesthesia, consisting of debridement and suturing of the transfixing laceration. In addition, a dose of anti-tetanus immunoglobulin was requested and antibiotic, anti-inflammatory and analgesic therapy was prescribed, along with postoperative guidelines and outpatient follow-up scheduled for the 7th postoperative day. In the outpatient follow-up, a satisfactory aspect of the surgical approach was observed. Therefore, it is certain that the surgical treatment of transfixing laceration should be advocated, since it is linked to tissue repair, providing a more predictable aesthetic and functional result.
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