Soft Tissue Trauma Practice Test

Should we provide treatment if full thickness or > 50% of the tongue is present but the laceration is off the midline?

Yes No Only if stable Depends on age

Correct Answer:

Explanation:

In tongue injuries, where the wound is located on the tongue matters more than just how big it is. Lacerations that are off the midline tend to heal well without formal surgical repair because the tongue has abundant blood supply and the tissue can re-epithelialize effectively from the edges. Even full-thickness or large defects that don’t cross the midline often do not require active closure in the initial management; supportive care such as bleeding control, gentle irrigation, analgesia, and soft-diet precautions is usually sufficient, with definitive care if needed later. If the wound were on the midline or involved critical structures or airway risk, then active surgical repair would be more likely. Age or stability aren’t the primary drivers here.

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