A 28-year-old man comes in with a laceration on his face after a bar fight. It's a 4 cm jagged wound with irregular edges and slight contamination. What should be the management?
Facial lacerations can have significant cosmetic and functional implications. The wound should be thoroughly irrigated and cleaned to decrease infection risk, especially since it's slightly contaminated. Jagged, irregular wounds on the face are typically repaired with sutures by a skilled provider to ensure the best cosmetic outcome. Depending on the depth and location, layered closure may be necessary. The patient should also be updated on his tetanus vaccination if needed.