Swelling and numbness of the lips after a car accident?
A couple of days ago, I was in a car accident and received emergency treatment.
I had about eight stitches on the left side of my lip near the nasolabial fold, and approximately four to five stitches internally.
I went home the same day without applying ice.
The next day, however, I experienced swelling and numbness.
After applying ice, there was still no improvement, and the swollen area is not directly on the stitches but next to them, roughly from the left half of the philtrum to the left half of the upper lip near the stitches.
Is it normal to have swelling and numbness? The numbness is so severe that I can't even feel the cold sensation from the ice pack...
Thank you, doctor.
Hannah, 10~19 year old female. Ask Date: 2015/06/05
Dr. Lu Daokuan reply Plastic Surgery
The facial sensory nerve distribution is extensive, and swelling and numbness near the nasolabial fold due to a wound is a normal reaction.
If there are areas with no sensation after two weeks, a follow-up appointment for re-evaluation is necessary.
Reply Date: 2015/06/05
More Info
After a car accident, experiencing lip swelling and numbness can be concerning, especially following a procedure that involved sutures. In your case, the swelling and numbness around the area where you received stitches are not uncommon, but they do warrant careful observation and possibly further evaluation by a healthcare professional.
When you sustain an injury to the face, particularly around the lips and mouth, several factors can contribute to swelling and numbness. The trauma from the accident can lead to soft tissue injury, which often results in inflammation. This inflammation can cause swelling in the surrounding areas, even if the swelling is not directly over the sutured site. The body’s natural response to injury includes increased blood flow to the area, which can lead to swelling as fluids accumulate in the tissues.
Numbness, on the other hand, may indicate nerve involvement. The facial area is rich in nerves, and trauma can lead to temporary nerve dysfunction or irritation. If the swelling is pressing on nearby nerves, it could result in numbness or a tingling sensation. In some cases, if the injury was severe enough, it could lead to more significant nerve damage, but this is less common.
It’s important to monitor the following signs and symptoms:
1. Progression of Swelling: If the swelling continues to increase rather than decrease over a few days, it may indicate a complication such as an infection or hematoma (a localized collection of blood outside of blood vessels).
2. Numbness: If the numbness persists or worsens, or if you experience additional symptoms such as weakness in the facial muscles, it is crucial to seek medical attention. This could indicate nerve damage that may require intervention.
3. Pain: While some discomfort is expected after such an injury, severe or increasing pain could suggest complications.
4. Signs of Infection: Watch for redness, warmth, or discharge from the sutured area, as these could indicate an infection that requires treatment.
5. Functional Impairment: If you find it difficult to move your lips or if there are changes in your ability to eat, drink, or speak, this should be evaluated by a healthcare provider.
In terms of treatment, applying ice packs intermittently can help reduce swelling, but it’s essential to do so correctly to avoid frostbite—never apply ice directly to the skin. Instead, wrap ice in a cloth and apply it for 15-20 minutes at a time, allowing breaks in between.
If the swelling and numbness do not improve within a few days, or if you notice any concerning symptoms, it is advisable to return to your healthcare provider or seek a specialist, such as an oral surgeon or a plastic surgeon, who can assess the injury and determine if further intervention is necessary.
In summary, while some swelling and numbness can be expected after facial trauma and suturing, persistent or worsening symptoms should not be ignored. Monitoring your condition closely and seeking medical advice when necessary is the best course of action to ensure proper healing and to address any potential complications.
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