Lacerations

When there is trauma to the ear requiring suture closure, careful realignment is mandatory to maintain the auricular contour. The extent of the injury should be evaluated thoroughly with the tissue anesthetized with 1% lidocaine (without epinephrine). This allows a careful evaluation of the wound as well as a meticulous suture closure. Lacerations involving only the skin can be closed with everting nonabsorbable sutures. An earlobe that is torn from earring trauma can be closed in layers using absorbable chromic gut suture to close the dermis and nonabsorbable 5-0 or 6-0 suture to close the skin. Lacerations that involve cartilage, perichondrium, and skin must also be closed in layers but might best be referred to a specialist in otorhinolaryngology or to a plastic surgeon.

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