PLASTICS

Question 1

Indications for laceration repairs with tissue adhesive? Contraindications?

Answer 1

1. For repair of superficial lacerations < 4 cm in length and <0.5 cm in width
2. Clean wounds in which edges can be easily approximated

Contraindications:

1. Wounds in which dehiscence is likely to occur (near a joint)
2. Scalp, eyebrow, eyelid
3. Crossing mucocutaneous junctions

Question 2

When should non-absorbable sutures be removed?

Answer 2

Dependent on location: highly vascularized areas heal quicker

Neck: 3-4 days
Face & scalp: 5 days
U/E & trunk: 7-10 days
L/E: 7-10 days
Joint surface: 10-14 days

Question 3

What is the management of paronychia?

Answer 3

Paronychia = infection of proximal nail fold

• if there is no abscess and just erythema and swelling, can give Keflex x 7 days and use warm soaks in saline water x 10 mins TID
• if abscess: incision and drainage! Only need to add PO keflex if severe infection