A young child arrived in the pediatric emergency department after an accident resulted in a grievous soft-tissue facial laceration (some details changed to ensure privacy). As the intern rotating on the plastic surgery service, I was called to see the patient, whose laceration involved the forehead down to and through the eyebrow. I called the senior resident who was on home call and sent photos of the injury. Bone was visible in the wound, and I assumed we would need to go to the operating room.
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