Doctor insights on:
Scalp Laceration In Children
Scalp is the part of the skin on the skull, deeply attached to the skull and has the hair shafts from it. Rest of the skin in the head like facial skin (beard) has only 2 layers -epidermis and dermis. Scalp has 5 different layers unlike facial skin/rest of skin all over body. Scalp-s-epidermis, c-conn. Tissue, a-aponeurosis, l-loose areolar conn. Tissue and p- pericranium attached ...Read more
Depends on the situa: Shallow or short cuts may not need anything more than a good wash out and antibiotic ointment.Deeper cuts that gape open likely need closure. Local instillation of anesthetic followed by staples or sutures is routine, complex deeper lesions may require an anesthetic, a good washout with saline & deep sutures followed by a surfaces closure. Most can be done in a pediatricians office or urgent care ctr. ...Read more
What kind of antibiotic goes on a very small scalp laceration? It doesn't seem deep enough to need stitches.
Yes, like any cut: Scalp lacerations look worse then they feel. Like any laceration they bleed and are painful. The scalp is very vascular (lots of blood vessels) so it tends to be very bloody. Depending on the depth of the laceration, most of these require surgical repair (done with local anesthetic- so not painful). The scalp tends to always heal beautifully. ...Read more
Yes: Technically yes. It is not a huge procedure as it is technically skin deep. But scalp lacerations can bleed a lot and a hematoma in that location could have lots of clots and therefore will requires a thorough evacuation with good lighting and surgical instruments as in a typical or. ...Read more
Is it normal for a laceration on back of head from car accident to still cause pain 5 years later? Pin point sharp shooting pain and scalp sensitivity
I had a big scalp and forehead laceration 23 staples and 150 stitches last may, the scar itches and hurts to touch on top of head. Should I worry?
No: But see your DR. There may be some retained stitches, which can be irritating. You may need to shampoo more or get a special shampoo or use a prescription solution. ...Read more
I wish to put black seed oil on my 14 year old's scalp daily to increase hair growth. Will this mess with her hormones and ability to have children.
14 years old:
Please don't make medical conditions to increase hair growth. You must discuss this soon with the doctor.
Please let me know how things go. ...Read more
Not with stitches: After 36 hours ur laceration has to be closed through secondary intention. The time period for the acute stitches have passed. Now it may take longer for the wound to fill in and heal. Make sure to keep the area clean, covered with a dressing and use antibiotic cream to avoid infection. ...Read more
Clean and cover: The laceration should be washed out, cleaned and covered immediately to avoid the would getting infected. ...Read more
#7 or #5 typically: A facially laceration that involves a cranial nerve typically effects the facial (cn #7), which is motor to the face, or trigeminal (cn #5), which supplies sensation to the face but also has motor branches to the chewing muscles. If there is involvement of the neck, other nerves can be injured as well. ...Read more
Thanks for asking!: The placement of sutures deep to the skin surface depends on the location and extent of the injury. Removing the sutures prematurely in an area that is under tension may lead to separation of the edges, even with minor trauma. It takes 3-4 weeks for healing at the skin level usually. ...Read more
About 18 cm: The choice of suture material for your laceration is quite large. Usually the doctors choose sutures that are dissolveable/absorbable, so they do not require a second procedure for removal. The sutures are about 18 cm long to accommodate handling by your doctor. More important than the suture is the cleaning, protection and care of your laceration. ...Read more
Techniue & Infection: There can be multiple causes here. Infection can cause even well-sutured wounds to re-open. Wounds closed under tension can also fail; more so if not opposed by deep sutures of the right type or if the tension is just too much. In the latter case additional surgery may be required. ...Read more
Depends: For those who completed the primary tetanus series & have had a booster within 10 years, cleaning of a simple fresh wound & proper closure would be ok. If a dirty wound, soil or rocks etc. > 5y from last booster would leave you at some risk. If the primary series was never complete or you are past the protected zone, a booster and infiltration of the wound with antitoxin might be needed. ...Read more
Cleanse: If simple, shallow, cleanse wound and cover with dry dressing. If gapped may use a steristrip to approximate. If deep or long, over a joint, any change in sensation, a bite laceration, dirty mechanism or any impraired range of motion see a surgeon. Be sure you are up to date on tetanus immunization. ...Read more
Red or bruised?: It is very normal for a scar to remain red (hyperemic) for several months or even years after an injury. However it is abnormal to remain bruised and may suggest a vascular malformation or hematoma or post inflammatory hyperpigmentation or hemosiderosis. You may want to discuss with a dermatologist. ...Read more
See below: Pain is the most common symptom. This is due to bleeding. If the live capsule is intact the bleeding will be contained in the liver and the pain will be focused in the right upper abdomen. If the capsule is torn the bleeding will be throughout the abdomen and the pain will be more diffuse. Other symptoms could be fast heartbeat, shortness of breath, pale skin, blacking out, decreased urine. ...Read more
Several weeks: A grade v liver laceration is severe. It will take several weeks to heal. Not only is the liver lacerated but you may have blood loss and it will take time to recover from other injuries. Start slow and build each day. If you over do it you will notice the next day. If you are taking narcotics for pain then use colace (docusate sodium) and senna. Be well. ...Read more