Puncture Wound of Soft Tissue Medical Assignment Help

Puncture Wound of Soft Tissue

The second soft tissue injury that occurs with some frequency is inadvertent puncturing of the soft tissue. Instruments, such ‘as a straight elevator or periosteal elevator, may slip from the surgical field and puncture or tear into adjacent soft tissue. ‘. Once again, this injury is the result of using uncon-
.trolled force instead of finesse and is best prevented by the use of controlled force, with special attention given to the supporting fingers or support from the opposite hand in anticipation of slippage. If the instrument slips from the tooth or bone, the fingers thus catch the hand before injury occurs (Fig. 11-2). When a puncture wound does occur, the treatment is aimed primarily at preventing infection and allowing healing to occur, usually by secondary intention. If the wound bleeds excessively, it

FIG. 11-1 Periosteal elevator (Seldin elevator) is used to reflect mucoperiosteal flap. Elevator placed perpendicular to bone and held in place by pushing firmly against bone, not by pushing it apically against soft tissue (arrow).

FIG. 11-1 Periosteal elevator (Seldin elevator) is used to reflect mucoperiosteal flap. Elevator
placed perpendicular to bone and held in place by pushing firmly against bone, not by pushing
it apically against soft tissue (arrow).

should be controlled by direct pressure on the soft tissue. Once hemostasis is achieved, the wound is usually left open and not sutured, so that if a small infection were to occur, there would be an adequate pathway for drainage.

 

 

 

 

 

 

 

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