Factor responsible for gaping of facial wounds

 # The most important factor responsible for gaping of the facial wounds is:

A. Thick and elastic nature of the skin

B. Due to rich vascularity 

C. Cutaneous attachment of the facial muscles

D. Laxity of the skin

The correct answer is C. Cutaneous attachment of the facial muscles.

Although all of the above are characteristics of facial skin, cutaneous attachment of the facial muscles is the most important factor responsible for gaping of the facial wounds. Facial skin is thick and  very elastic because the facial muscles are inserted into it. Therefore, the wounds of the face tend to gape. Rich vascularity of the facial skin makes the face blush and blanch. Wounds of the face bleed profusely but heal rapidly. 

The facial skin is rich in sebaceous and sweat glands. Laxity of greater part of the skin facilitates rapid spread of oedema. Renal oedema appears first in the eyelids and face before spreading to other parts of the body.

Boils in the nose and ear are acutely painful due to the fixity of the skin to the underlying cartilages.

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