How can subcutaneous ticks be removed from the face? - briefly
Grasp the embedded tick with fine‑point tweezers as close to the skin surface as possible and apply steady, upward traction without twisting; then disinfect the site and monitor for infection. If the parasite is lodged deeply or removal is difficult, obtain professional medical extraction.
How can subcutaneous ticks be removed from the face? - in detail
Removing an embedded tick from facial tissue requires precision, sterile technique, and awareness of potential complications. The following protocol outlines each stage of the procedure.
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Preparation
- Gather sterile instruments: fine‑point tweezers or forceps, a scalpel with a #11 blade, antiseptic solution (e.g., povidone‑iodine), sterile gauze, and a small container with a lid for the specimen.
- Wash hands thoroughly and wear disposable gloves.
- Position the patient comfortably, preferably seated upright, with adequate lighting.
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Assessment
- Identify the tick’s location, orientation, and depth. Subcutaneous placement often leaves only the anterior mouthparts visible.
- Examine surrounding skin for signs of infection, inflammation, or allergic reaction.
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Extraction
- Disinfect the area with antiseptic; allow it to dry.
- If the tick’s body protrudes, grasp the head or mouthparts with fine tweezers as close to the skin as possible. Pull straight upward with steady, even pressure. Avoid twisting, which may leave mouthparts embedded.
- When only the mouthparts remain, make a shallow incision with the scalpel directly over the exposed area. Use the blade to gently lift the residual mandibles, then extract them with tweezers.
- Place the whole tick in the sealed container for identification or testing, if required.
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Post‑removal care
- Re‑apply antiseptic to the wound.
- Cover with a sterile dressing if bleeding occurs.
- Instruct the patient to monitor the site for redness, swelling, or discharge over the next 48 hours.
- Recommend a short course of topical antibiotic ointment if the skin appears compromised.
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When to seek professional assistance
- Inability to grasp the tick securely.
- Presence of severe pain, extensive swelling, or signs of infection.
- Uncertainty about the tick’s removal completeness.
- Patient is immunocompromised, pregnant, or has a history of tick‑borne disease.
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Documentation
- Record the date and time of removal, anatomical site, tick appearance, and any complications.
- Note the patient’s follow‑up plan and provide written instructions.
Adhering to this systematic approach minimizes tissue trauma, reduces the risk of pathogen transmission, and ensures proper wound management after removal of a facial embedded tick.