Answer
Answer
Certain wounds, such as the following, are best closed in consultation with a plastic surgeon:
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Large flaps
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Large amounts of the vermilion border missing
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Macerated wounds
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Involvement of the commissure
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Loss of more than 25% of the lip [7]
For more information, see the Medscape article Lip Reconstruction. [8]
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Media Gallery
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Equipment for the anesthesia, irrigation, and closure of a lip laceration.
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Lip laceration involving the lower vermilion border.
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Identification of intraoral skin laceration.
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Lip laceration involving the upper vermilion border.
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Deep intraoral lip laceration that needs repair.
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Technique for extraoral infraorbital nerve block.
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Intraoral approach for infraorbital nerve block.
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Placement of the first suture through the vermilion border.
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Assessing for mobile or broken teeth.
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Further inspection of the anesthetized wound reveals a through-and-through laceration.
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Extraoral approach to close the deep layer.
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Wound approximation after 2 deep sutures are placed.
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First suture aligning the vermilion border.
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Placement of intraoral skin suture with buried knot.
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Closure of an intraoral skin laceration.
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Closure of an intraoral laceration.
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Intraoral approach to close the deep layer.
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Wound approximation after placement of deep muscular sutures.
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Placement of the first suture through the vermilion border.
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Placement of the first suture through the vermilion border.
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Complete closure of the facial skin.
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Complete closure of the facial skin.
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Illustration of the upper and lower vermilion border.
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Areas of regional nerve blocks for the lips.
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