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Nasal Laceration
Aka: Nasal Laceration, Nasal Ala Laceration
- Precautions
- Nasal Ala Laceration
- Close approximation is critical to a good cosmetic result
- Close each layer (mucosa, cartilage and skin) individually
- Consider plastic surgery for closure if there is any step-off or deformity
- Technique: Nasal Ala Laceration Repair
- Step 1: Mucosa closure
- Close with Absorbable Suture (fast absorbing gut or chromic Suture)
- Step 2: Cartilage closure
- Close with 5-0 or 6-0 nylon or monocryl
- Requires close approximation (analogous to lip vermilion border)
- Use a keystone or stay stitch to best approximate the edges
- Step 3: Skin closure
- Undermine skin to remove excess tension
- Close with nylon or ProleneSutures (to be removed in 5 days)
- References
- Claudius, LoTempio, Behar and Swaminathan in Herbert (2016) EM:Rap 16(8): 2-3