II. Precautions: Nasal Ala Laceration

  1. Close approximation is critical to a good cosmetic result
  2. Close each layer (mucosa, cartilage and skin) individually
  3. Consider plastic surgery for closure if there is any step-off or deformity

III. Preparation: Regional Anesthesia

IV. Technique: Nasal Ala Laceration Repair

  1. Step 1: Mucosa closure
    1. Close with Absorbable Suture (fast absorbing gut or chromic Suture)
  2. Step 2: Cartilage closure
    1. Close with 5-0 or 6-0 nylon or monocryl
    2. Requires close approximation (analogous to lip vermilion border)
    3. Use a keystone or stay stitch to best approximate the edges
  3. Step 3: Skin closure
    1. Undermine skin to remove excess tension
    2. Close with nylon or ProleneSutures (to be removed in 5 days)

V. References

  1. Claudius, LoTempio, Behar and Swaminathan in Herbert (2016) EM:Rap 16(8): 2-3

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Related Studies

Ontology: Laceration of nose (C1298677)

Concepts Injury or Poisoning (T037)
SnomedCT 373602003
English laceration of nose, laceration of nose (physical finding), laceration of nose (diagnosis), Laceration of nose (disorder), Laceration of nose
Spanish laceraciĆ³n de la nariz (trastorno), laceraciĆ³n de la nariz