or long-term cosmesis or complications such as infection or wound dehiscence Additionally, caregivers had a significantly higher future preference for the absorbable sutures Tissue adhesives such as 2-octylcyanoacrylate have also demonstrated similar cosmesis, less pain, and shorter procedure times when compared to sutures for simple lacerations, but may have a slightly increased risk of wound dehiscence Regional Nerve Blocks CLINICAL PEARLS AND PITFALLS Important areas for regional nerve blocks on the face include the medial third of the eyebrow (supraorbital nerve), the infraorbital foramen (infraorbital nerve), and to cm above the inferior border of mandible (mental nerve) Clinical Considerations Local or regional anesthesia may be used to aid in the suturing of facial lacerations in children Regional anesthesia has the distinct advantage of allowing the physician to perform a painless procedure, without distorting the anatomic structures under repair In addition, regional blocks, in general, require fewer anesthetics (see Chapter 130 Procedures ) The supraorbital nerve exits the supraorbital rim in the medial third of the eyebrow approximately to cm from the facial midline Local infiltration in this region can effectively provide anesthesia to the ipsilateral hemiforehead The infraorbital nerve exits through the infraorbital foramen, approximately mm inferior to the infraorbital rim Effective block of this nerve can provide anesthesia to the ipsilateral medial cheek and upper lip Anesthesia of the lower lip and chin may be achieved by infiltration of the ipsilateral mental (infraoral) nerve This nerve exists approximately to cm superior to the inferior border of the mandible The supraorbital and infraorbital nerves, as well as the mental nerve, exit the facial skeleton from foramen, which are in-line with the first premolar tooth Guidelines for Subspecialty Consultation CLINICAL PEARLS AND PITFALLS