Childhood Diseases

Posted by: Racoon | 2010-07-20


Forehead/brow laceration

Dear Paed

Our 4.5 year old had quite an accident on Sat, he was swinging from a tree and landed face first on some rocks. Sustained 2 lacerations on his forehead, one midforehead above his left eye which was quite a clean cut and one to the right of his forehead, above the brow which is more of a tear-wound with abrasions. This one was very deep, and looked as though it went through the galea layer. We requested a plastic surgeon to suture it, but he wanted to do it under general anaesthesia which was not a good idea in a concussed child (he did have a CT scan which was clear). So the emergency doc did the suturing. He only put in one layer of sutures through the top skin layer though? I am quite worried about a cavity forming as it was really very deep although the skull was not exposed. Also, is there a risk that the muscles could have been severed? I did ask the doc, and he said no, but I am not convinced...What is your take on this?

Expert's Reply



This kind if injury is very common in young children especially boys.Your son's wound above his left eye should heal well. His other wound above his right eyebrow seems to be rather deep. While it is unlikely that the muscle layer has been cut, the wound itself may be too deep for the single layer sutures only.It is possible that this wound will heal leaving a large scar.It may be best to ask a plastic surgeon to review this wound and the sutures.

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