Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study

Objective: Formation of scar on the face after septorhinoplasty may disturb the patient due to cosmetic concerns. One of the main factors affecting scar outcomes is probably the suture material used. The aim of this study was to examine the effect of different suture materials on scar outcomes of al...

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Main Authors: Mehmet Emrah Ceylan, Hasan Hüseyin Balıkçı
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869422000817
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author Mehmet Emrah Ceylan
Hasan Hüseyin Balıkçı
author_facet Mehmet Emrah Ceylan
Hasan Hüseyin Balıkçı
author_sort Mehmet Emrah Ceylan
collection DOAJ
description Objective: Formation of scar on the face after septorhinoplasty may disturb the patient due to cosmetic concerns. One of the main factors affecting scar outcomes is probably the suture material used. The aim of this study was to examine the effect of different suture materials on scar outcomes of alar base in patients undergoing septorhinoplasty. Methods: Thirty-one patients who underwent alar base intervention during primary septorhinoplasty were divided into two groups according to the suture material used as the Polypropylene group (n = 16), (Polypropylene, Prolene 6/0; Ethicon Inc., Somerville, NJ, USA) and the Polyglactin group (n = 15), (Irradiated polyglactin 911, Vicryl Rapid™ 6/0; Ethicon Inc., Somerville, NJ, USA). The scar outcomes of alar base were compared between the Polypropylene and Polyglactin groups. The modified Stony Brook Scar Evaluation Scale was used to measure wound healing results at one and 12-months postoperatively for objective evaluation. Patient satisfaction questionnaire was used for subjective evaluation. Results: There were no statistically significant differences in the Stony Brook Scar Evaluation Scale and patient questionnaire scores between Polypropylene and Polyglactin groups. Irradiated Vicryl Rapid had poor cosmetic outcomes in the alar base when compared to polypropylene, indicating no statistically significant difference. Conclusion: Both sutures can be used for closure of alar base considering their advantages and disadvantages, in patients undergoing septorhinoplasty. Level of evidence: Treatment Benefits; Level 2 (Randomized Trial).
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spelling doaj.art-3257ce80352e4511bfed7d375454f0c82022-12-22T04:42:02ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-0188S133S139Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind studyMehmet Emrah Ceylan0Hasan Hüseyin Balıkçı1Isparta Davraz Yasam Hospital, Department of Otolaryngology, Isparta, Turkey; Corresponding author.Isparta Davraz Yasam Hospital, Department of Otolaryngology, Isparta, Turkey; Private Otolaryngology Clinic, Antalya, TurkeyObjective: Formation of scar on the face after septorhinoplasty may disturb the patient due to cosmetic concerns. One of the main factors affecting scar outcomes is probably the suture material used. The aim of this study was to examine the effect of different suture materials on scar outcomes of alar base in patients undergoing septorhinoplasty. Methods: Thirty-one patients who underwent alar base intervention during primary septorhinoplasty were divided into two groups according to the suture material used as the Polypropylene group (n = 16), (Polypropylene, Prolene 6/0; Ethicon Inc., Somerville, NJ, USA) and the Polyglactin group (n = 15), (Irradiated polyglactin 911, Vicryl Rapid™ 6/0; Ethicon Inc., Somerville, NJ, USA). The scar outcomes of alar base were compared between the Polypropylene and Polyglactin groups. The modified Stony Brook Scar Evaluation Scale was used to measure wound healing results at one and 12-months postoperatively for objective evaluation. Patient satisfaction questionnaire was used for subjective evaluation. Results: There were no statistically significant differences in the Stony Brook Scar Evaluation Scale and patient questionnaire scores between Polypropylene and Polyglactin groups. Irradiated Vicryl Rapid had poor cosmetic outcomes in the alar base when compared to polypropylene, indicating no statistically significant difference. Conclusion: Both sutures can be used for closure of alar base considering their advantages and disadvantages, in patients undergoing septorhinoplasty. Level of evidence: Treatment Benefits; Level 2 (Randomized Trial).http://www.sciencedirect.com/science/article/pii/S1808869422000817Polyglactin 910PolypropylenesRhinoplastyCicatrixSurveys and questionnaires
spellingShingle Mehmet Emrah Ceylan
Hasan Hüseyin Balıkçı
Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study
Brazilian Journal of Otorhinolaryngology
Polyglactin 910
Polypropylenes
Rhinoplasty
Cicatrix
Surveys and questionnaires
title Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study
title_full Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study
title_fullStr Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study
title_full_unstemmed Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study
title_short Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study
title_sort comparison of scar outcomes of alar flare region using absorbable and non absorbable sutures a single blind study
topic Polyglactin 910
Polypropylenes
Rhinoplasty
Cicatrix
Surveys and questionnaires
url http://www.sciencedirect.com/science/article/pii/S1808869422000817
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