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EAR
AND NOSE LACERATIONS
The three-dimensional curves of the pinna and nares and the
presence of cartilage present difficulties when injured. Wounds
are commonly irregular, with cartilage exposed by loss of skin.
Use the folds of the ear or nose as landmarks to help restore
anatomical alignment. Close the wound in layers with fine sutures,
using absorbable sutures for the cartilage (Figures
5.13, 5.14).
The
dressings are important. Support the pinna on both sides
with moist cotton pads and firmly bandage to reduce haematoma
formation (Figure 5.15). Cover
exposed cartilage either by wound closure or split thickness
skin grafts Wounds of the ear and nose may result in deformities
or necrosis of the cartilage.
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