TABLE 110.5 SUTURE REMOVAL TIMING Wound location Time of removal (days) Neck Face Scalp Upper extremities, trunk Lower extremities Joint surface 3–4 4–5 7–10 7–10 8–10 10–14 As discussed previously, in the first 12 to 24 hours, wound dressings should be changed only if wet or soiled After that, gentle washing can be permitted as long as the wound is then patted rather than rubbed dry and covered again There is no proven harm to exposing the sutures to soap and water for short periods of time MANAGEMENT OF SPECIFIC WOUNDS The principles of wound care discussed earlier should be applied in repairing any of the wounds discussed in the following section These principles include evaluation of the wound by history, physical examination, and when indicated, radiographic or ultrasound imaging After the wound is evaluated, the feasibility of closure and the possible need for consultation with a surgical specialist should be considered The following section discusses some of the commonly encountered wounds in children Facial and Oral Wounds CLINICAL PEARLS AND PITFALLS