Assessment and management of lip lacerations
- Judd E Hollander, MD
Judd E Hollander, MD
- Professor and Vice Chair Department of Emergency Medicine
- Thomas Jefferson University
- Lauren N Weinberger Conlon, MD
Lauren N Weinberger Conlon, MD
- Assistant Professor Department of Emergency Medicine
- University of Pennsylvania
- Section Editors
- Anne M Stack, MD
Anne M Stack, MD
- Section Editor — Pediatric Procedures
- Associate Professor, Department of Pediatrics
- Harvard Medical School
- Allan B Wolfson, MD
Allan B Wolfson, MD
- Section Editor — Adult Procedures
- Professor of Emergency Medicine
- University of Pittsburgh
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
This topic will discuss the assessment and management of lip lacerations. Assessment and management of other facial lacerations, tongue lacerations, and general discussions on wound preparation and suturing are provided separately:To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- Mantilla Gómez S, Danser MM, Sipos PM, et al. Tongue coating and salivary bacterial counts in healthy/gingivitis subjects and periodontitis patients. J Clin Periodontol 2001; 28:970.
- Armstrong BD. Lacerations of the mouth. Emerg Med Clin North Am 2000; 18:471.
- Grunebaum LD, Smith JE, Hoosien GE. Lip and perioral trauma. Facial Plast Surg 2010; 26:433.
- Attia MW, Loiselle J. Management of soft-tissue injuries of the mouth. In: Textbook of Pediatric Emergency Procedures, 2nd edition, King C, Henretig FM (Eds) (Eds), Lippincott, Williams & Wilkins, Philadelphia, PA 2008. p.680.
- GOLDBERG MH. ANTIBIOTICS AND ORAL AND ORAL-CUTANEOUS LACERATIONS. J Oral Surg 1965; 23:117.
- Paterson JA, Cardo VA Jr, Stratigos GT. An examination of antibiotic prophylaxis in oral and maxillofacial surgery. J Oral Surg 1970; 28:753.
- Altieri M, Brasch L, Getson P. Antibiotic prophylaxis in intraoral wounds. Am J Emerg Med 1986; 4:507.
- Steele MT, Sainsbury CR, Robinson WA, et al. Prophylactic penicillin for intraoral wounds. Ann Emerg Med 1989; 18:847.
- Abubaker AO. Use of prophylactic antibiotics in preventing infection of traumatic injuries. Dent Clin North Am 2009; 53:707.
- Katsetos SL, Nagurka R, Caffrey J, et al. Antibiotic prophylaxis for oral lacerations: our emergency department's experience. Int J Emerg Med 2016; 9:24.
- Mark DG, Granquist EJ. Are prophylactic oral antibiotics indicated for the treatment of intraoral wounds? Ann Emerg Med 2008; 52:368.
- Physical examination
- Ancillary studies
- INDICATIONS FOR SUBSPECIALTY CONSULTATION OR REFERRAL
- WOUND REPAIR
- Indications for primary closure
- Contraindications and precautions
- - Anesthesia and analgesia
- Regional block
- Procedural sedation
- - Irrigation and debridement
- - Equipment
- OTHER CONSIDERATIONS
- Tetanus prophylaxis
- Prophylactic antibiotics
- Bite wounds
- SOCIETY GUIDELINE LINKS
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS