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Use of existing lacerations

Initial laceration|alt

Principles

Frequently, patients with facial trauma also have lacerations. Very often, these existing soft-tissue injuries can be used to directly access the facial structures for management of the trauma.

The surgeon may elect to extend the laceration to provide adequate access to the injured area, following the relaxed skin tension lines (RSTL).

Bacterial contamination is not a contraindication for the use of existing lacerations for surgical approach.