Diferencia entre revisiones de «Eyelid laceration»

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(nerve blocks)
Línea 11: Línea 11:
##Wounds associated with ptosis
##Wounds associated with ptosis
##Involving tarsal plate or levator palpebrae muscle
##Involving tarsal plate or levator palpebrae muscle
#[[Nerve block: supraorbital]] vs [[Nerve block: Infraorbital]]


==Disposition==
==Disposition==

Revisión del 20:37 31 dic 2013

Background

  • Must rule-out corneal laceration and globe rupture

Treatment

  1. The following lacerations should be repaired by an oculoplastic specialist:
    1. Lid margin
      1. Only if >1mm; <1mm does not require suturing and will heal spontaneously
    2. Within 6-8mm of medial canthus
    3. Lacrimal duct or sac
    4. Inner surface of the lid
    5. Wounds associated with ptosis
    6. Involving tarsal plate or levator palpebrae muscle
  2. Nerve block: supraorbital vs Nerve block: Infraorbital

Disposition

  1. Canalicular Laceration
    1. To OR w/in 24-36hr for repair
  2. All other lacerations
    1. Ophtho consult

Source

Tintinalli