Treatment of facial trauma in babies

  When a baby is injured, parents want to treat it in a way that causes the least pain and leaves the least scarring. There are some very superficial cuts that can be treated without stitches, just by using teri-strip tape or glue after cleaning and disinfecting the wound. This method is obviously ideal, but unfortunately, it is only suitable for treating wounds that only injure the skin layer and are neatly aligned with no visible contusions or contamination. Most of the rest of the cases require sutures. This is because simple treatment cannot remove the dirt and foreign bodies from the wound, nor can it completely stop the bleeding and align the damaged tissues layer by layer, all of which contribute to the slow healing of the wound and the obvious postoperative scarring.  It is because babies have delicate skin and have just taken a small step in life that we need to be more careful and conscientious in handling their traumatic injuries. Babies are young, and when they are injured, they are in pain and scared, so crying and disobedience are sure to happen. Let’s not talk about whether the wound will fit neatly or not, just imagine how dangerous it is to have the baby moving around under the needle and scissors while we are holding scissors and stitches in our hands to clean and close the wound. Therefore, for the sake of the baby and the wound, the surgery needs to be performed with the baby quiet and still, so that proper general anesthesia is essential.  Parents often have more concerns about general anesthesia, especially about the risks of general anesthesia and the impact on the child’s future intellectual development. It is true that general anesthesia carries certain risks, but with the continuous improvement of medical standards, some shorter surgeries can now be performed with basic anesthesia plus local anesthesia or intravenous anesthesia, which is only a sleep for the baby and does not require general anesthesia as in the past, and the risk of anesthesia is much smaller. As for whether there is an effect on future intelligence, there is no long-term research in this area, but if it were my child who was injured, I would definitely choose to clear the wound under general anesthesia.  After surgery, parents should try to keep the injured area clean and dry to avoid physical stimulation such as sweating or moisture; especially some wounds around the lips should be cleaned in time. For younger babies, pay more attention not to let the baby scratch the injured area with their hands to avoid wound infection, re-opening, etc. In addition, the baby will be very unstable after the injury because of the pain and fear, parents should also pay attention to more soothing baby, reduce the number of baby crying, because crying will not only cause facial congestion wound swelling, but also because of strenuous facial movement caused by the wound pull, these are not conducive to wound healing and recovery. For more information, please refer to the article “Changes in postoperative scar and common methods to reduce scar reaction”.