{"id":2339,"date":"2016-08-31T11:36:10","date_gmt":"2016-08-31T11:36:10","guid":{"rendered":"https:\/\/pclscoffsharbour.com.au\/?p=2339"},"modified":"2020-07-08T23:59:33","modified_gmt":"2020-07-08T23:59:33","slug":"the-treatment-of-untidy-lip-injuries-2","status":"publish","type":"post","link":"https:\/\/pclscoffsharbour.com.au\/the-treatment-of-untidy-lip-injuries\/","title":{"rendered":"The Treatment of \u201cUntidy\u201d Lip Injuries"},"content":{"rendered":"

August 31st, 2016<\/p>\n

Lip injuries usually look worse than they are!<\/p>\n

Careful assessment and analysis of the injury, followed by meticulous repair techniques give good results.<\/p>\n

While \u201csharp\u201d or \u201cclean\u201d injuries<\/strong> are easy to repair, this is not so when there is an \u201cuntidy\u201d wound of the mucosa<\/strong>.  It is necessary to \u201ctriangulate\u201d the defect<\/strong>, converting the \u201cuntidy \u201d injury into a tidy\u201d one before repair.<\/p>\n

A \u201cburst\u201d injury<\/strong>  looks a lot worse than it actually is, as there is little tissue loss and  meticulous repair usually gives good results.<\/p>\n

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Figure 1<\/strong><\/p>\n

17 year old girl three weeks after repair of a left upper lip dog bite injury.<\/p>\n

This is an an excellent result and would have got better with tissue maturation over the next few months.<\/p>\n

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\"treatment<\/a><\/p>\n

Figure 2<\/strong><\/p>\n

A similar injury in a 20 year old male, two years after repair, showing a poor result due to an unsatisfactory technique of repair.<\/p>\n

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Figure 3<\/strong><\/p>\n

The dog bite to the left upper lip of the patient in Figure 1.<\/p>\n

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Figure 4<\/strong><\/p>\n

The \u201d triangulation \u201d of the defect of the patient in Figure 1, prior to repair.<\/p>\n

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Figure 5<\/strong><\/p>\n

The same patient in figure 2, after \u201ctriangulation\u201d and a three layer repair.<\/p>\n

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Figure 6<\/strong><\/p>\n

A \u201d burst \u201d injury in a 15 year old boy who cycled into the back of a bus,  with minimal tissue loss but a major disruption of the anatomy of the lip.<\/p>\n

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Figure 7<\/strong><\/p>\n

The patient at six months, after a meticulous and patient\u201dToilet and repair \u201c! (Note capital \u201cT \u201cand small case \u201cr\u201d, emphasising the relative importance of the two components of the repair!)<\/p>\n

For more information please contact me at [email protected]<\/p>\n

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August 31st, 2016 Lip injuries usually look worse than they are! Careful assessment and analysis of the injury, followed by meticulous repair techniques give good […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[19,20],"tags":[],"yoast_head":"\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n