Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
Fundamentals of Surgical Practice
The Surgical Patient
Approach to the surgical patient
The paediatric patient
Surgical Techniques
Tissue Handling
Suture and suture technique
Prophylaxis
Basic Surgical Procedures
Wound management
Specific lacerations and wounds
Burns
Foreign bodies
Cellulitis and abscess
Excision and biopsies
Specific Lacerations and Wounds
 


> BLOOD VESSELS, NERVES AND TENDONS
> FACIAL LACERATIONS
> LIP LACERATIONS
> WOUNDS OF THE TONGUE
> EAR AND NOSE LACERATIONS
>

NOSE BLEEDS (EPISTAXIS)

> OCULAR TRAUMA
> OPEN FRACTURES
> TENDON LACERATIONS
> ANIMAL BITES



WOUNDS OF THE TONGUE

Most wounds of the tongue heal rapidly without suturing. Lacerations with a raised flap on the lateral border or the dorsum of the tongue need to be sutured (Figure 5.11). Suture the flap to its bed with 4/0 or 3/0 buried, absorbable stitches (Figure 5.12). Local anaesthesia is sufficient. Instruct the patient to rinse the mouth regularly until healing is complete.

Figure 5.11
Figure 5.11

Figure 5.12
Figure 5.12

> BLOOD VESSELS, NERVES AND TENDONS
> FACIAL LACERATIONS
> LIP LACERATIONS
> WOUNDS OF THE TONGUE
> EAR AND NOSE LACERATIONS
>

NOSE BLEEDS (EPISTAXIS)

> OCULAR TRAUMA
> OPEN FRACTURES
> TENDON LACERATIONS
> ANIMAL BITES


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