From the Research
Lacerations on the inside of the lip should ideally be sutured within 24 hours of injury for optimal healing and cosmetic results. After cleaning the wound thoroughly, sutures are typically placed using absorbable material such as 4-0 or 5-0 chromic gut or Vicryl 1. These sutures will dissolve on their own within 7-10 days, eliminating the need for removal. The oral mucosa heals rapidly due to its excellent blood supply, which promotes faster tissue regeneration compared to skin.
Some key considerations for managing lip lacerations include:
- Cleaning the wound thoroughly to prevent infection
- Using absorbable sutures to minimize the need for removal
- Avoiding spicy or acidic foods that may irritate the wound
- Sticking to soft foods for 2-3 days to reduce discomfort
- Managing pain with acetaminophen or ibuprofen as needed 2
It's also important to note that larger or deeper wounds require closure to prevent infection, minimize scarring, and restore proper function of the lip. If the laceration is very small (less than 1 cm) and not gaping, it may heal without sutures, but this should be determined on a case-by-case basis 1.
In terms of suture material, fast-absorbing polyglactin 910 may be a good option, as it has been associated with earlier resumption of normal activities and less pain compared to other materials 3. However, the choice of suture material will depend on the specific needs of the patient and the preferences of the healthcare provider.
Overall, the goal of managing lip lacerations is to promote optimal healing, minimize scarring, and restore proper function of the lip, while also prioritizing the patient's comfort and quality of life 1, 2.