Upper lip Frenulum injuries
- e.g. a toddler who falls against a piece of furniture….
- Generally, can be treated “expectantly”, without suturing
- Check for dental injury or bony damage: particularly “missing” teeth (which can be lost within the adjacent gum or lip)
- X-rays may be required for “missing teeth” or suspected fractures
- Make sure the child is fully conscious and there is no evidence of a concussional head injury, fractured mid-face or jaw.
- Make sure there are no eye or ear injuries
- Check for NAI and /or other injuries
- Advise the parent/s to give over-the-counter analgesia (e.g. Calpol or Nurofen)
- Iced drinks through a straw / semi-liquid foodstuffs can be useful for a few days
- After initial nursing care / wound toilet, there is probably no indication for further (repeated) local irrigation of the wound
- If irrigating, use warmed (33-37°) solution [Evidence]
- Antibiotic cover may be indicated: e.g. Co-Amoxiclav or suitable alternative
- Discuss with the duty registrar, ANP or consultant, if in doubt, or bring back to a Review Clinic within the next 48 hours
Content by Dr Chris Luke MUH ED 23/08/2011. Last review Dr LCL 02/04/2017LCL, Dr ÍOS 21/06/21