Management of facial laceration:1. After ABCs,2. History, clinical examination and consent from the patient regarding the presence of facial nerve, peripheral branches of the trigeminal nerve, parotid gland and duct injures.3. Anesthetize laceration and explore locally.4. Thoroughly clean all debris (may need to use scrub brush) and blood from face to avoid missing a laceration.5. Warm gauze is a great way to clean dried blood leave on for 2 minutes and wipe.6. Thoroughly cleanse the wound with copious irrigation using Normal saline.7. Assess depth of wound, layers affected, and look for fractures which may be at the base of the laceration requires reduction and fixation using different osteosynthesis methods.8. Non contaminated wounds repaired within 6 hours of injury rarely develop infection.9. Wounds that were closed within 24 hours had no increased risk of infection if it is a clean laceration.10. Check for vital structures such as facial nerve branches which needs immediate repair under microscope, and addition of high dose of steroids.11. Check for parotid gland and duct injury which also needs repair according to the location of the injury as shown in the picture.

12. Wound closure is performed using a layered technique. If the margins are beveled or ragged they should be conservatively excised to provide perpendicular skin edges to prevent excessive scar formation.13. Large wounds of soft tissue loss may require local flaps or skin grafts.14. Typical time for suture removal in face is 5-6 days.15. Tetanus prophylaxis should be given according to the degree of contamination and history of immunization.16. Drain (Superficial laceration do not required drain).17. Drain should be removed after 2-4 days.18. Dressing: Sofratulle or antibiotic ointment along with dry gauze dressing should be changed in 48 hours.19. The Large wound need pressure dressing.20. Adequate supportive antibiotic therapy. 21. Follow-up, instructions for proper wound care, including the normal healing process and signs that might indicate the presence of complications. Anticipate any complication (eg, infection, swelling, bleeding, and dehiscence) and give precise instructions for early return.