Facial Soft Tissue Damage Resulting from Opium Insertion into Lacerations: A Case Report

Abstract

Introduction: Facial lacerations require careful management to prevent complications. Historically, opium, known for its pain-relieving properties, was sometimes used in wound care. However, inserting opium into lacerations can lead to serious issues such as delayed healing and an increased risk of infection due to its chemical irritation and inflammatory effects. Modern medical knowledge and ethical standards reject this practice in favor of safer, evidence-based treatments. This case report highlights the adverse effects of using opium in wound care and emphasizes the importance of adhering to contemporary medical practices to ensure optimal patient outcomes. Case Presentation: A 63-year-old man with no major systemic diseases sought maxillofacial surgery one month after falling and sustaining a 1 cm laceration to his mandible. Initially, he self-treated with opium to alleviate pain and prevent infection, but his symptoms worsened, including increased pain, swelling, and signs of infection, prompting him to seek professional care. Examinations revealed localized swelling, inflammation, and purulent discharge. The diagnosis was soft tissue damage complicated by opium use, leading to infection and delayed healing. Conclusions: This case highlights the risks of using non-medical substances, such as opium, in wound care. As opium is non-sterile, its use contributed to infection and delayed healing, exacerbating inflammation and bacterial growth. The case underscores the importance of timely medical intervention and proper patient education on wound care. It advocates against self-medication and supports evidence-based treatment practices. Future research should examine the impact of such treatments on wound healing to improve clinical practice.