Signs of Lip laceration (Skin cut)

Description

A defect in the skin of the lip caused by trauma. If the laceration crosses the juncture between the lighter skin and the redder tissue (vermillion border) care must be taken to repair this area since noticeable disfigurement can occur if the edges of the vermillion border are not accurately approximated.

Symptoms

Defect in skin, swelling, bleeding.

Tests

A history and physical exam will be performed. An X-ray or CT scan may be done to identify associated injuries if warranted.

Standard Workup

X-Ray
CT Scan

Treatment

Intraoral lip lacerations many times do not need stitches. If the laceration crosses the juncture between the lighter skin and the redder tissue (vermillion border) care must be taken to repair this area since noticeable disfigurement can occur if the edges of the vermillion border are not accurately approximated. Complex lip lacerations may require closure by a plastic surgeon. Lip lacerations should be repaired within 24 hours to prevent infection, with 12 hours being ideal. While waiting for treatment the laceration can be cleaned with running water and covered with gauze or a clean cloth. Pressure on the wound can be applied to stop bleeding. If the bleeding is profuse consider calling 911. A tetanus shot may be needed if the last shot was more than 5 years for a dirty wound or more than 10 years for a clean wound.