ResidentTraumaFINALhighres

H. Chin..................................................................................................204

I. Neck.................................................................................................204

VI. Perioperative Care

.............................................................................204

A. Antibiotic Prophylaxis.................................................................204

1. Uncontaminated Wounds <24 Hours Mature................204

2. Contaminated Wounds or Wounds

>24 Hours Mature.....................................................................204

3. Oronasal Wounds (i.e., through-and-through

lip lacerations)........................................................................ 205

4. Ear or Nasal Cartilage Involvement................................... 205

5. Animal Bites............................................................................ 205

6. Human Bites............................................................................206

B. Pros and Cons of Topical Antibiotics......................................206

1. Neomycin.................................................................................206

2. Bacitracin..................................................................................206

3. Mupirocin (e.g., Bactroban®).............................................. 207

C. Tetanus Prophylaxis..................................................................... 207

D. Post-Repair Directives................................................................. 207

1. Moisturization......................................................................... 207

2. Daily Debridement................................................................. 207

3. Dressings..................................................................................208

4. Bathing......................................................................................208

5. Antibiotics................................................................................208

6. Nutrition...................................................................................208

7. Head Elevation........................................................................208

8. Patient and Caretaker Instructions....................................208

9. Suture Removal.......................................................................208

10. Hypertrophic Scarring and Hyperemia.............................208

VII. Special Circumstances

.....................................................................209

A. Abrasions.......................................................................................209

B. Avulsion Injuries...........................................................................209

C. Facial Nerve Injuries....................................................................209

D. Bite Injuries....................................................................................209

1. Animal Bites.............................................................................210

2. Human Bites.............................................................................210

E. Burn Injuries..................................................................................... 211

1. Facial Subsites.......................................................................... 212

VIII. Conclusion

........................................................................................... 213

IX. References

............................................................................................ 213