lacerations
The general guidelines for management of facial lacerations are outlined in Chapter 23 ..Frequently, fractures of the facial bones are associated with severe facial lacerations. The principles of laceration repair remain’ the same
regardless of how small or large the injury.

operating department is shown in a C-spine collar. 5, Axial computerized tomography (CT) scan
reveals anterior skull fractures with intracranial air. C. Axial CT scan with bilateral displaced mandible
fractures. D, Operative view of skull vault plated while the neurosurgeon was repairing the duraltear.




from above after hemostasis has been achieved and the wound has been debrided and trimmed. Note
the nearly avulsed upper lip pedicled on the left side. C, View of repaired lacerations with patient nasally
intubated and an oral airway in place. D, Three-month postoperative facial appearance.