Acar Ahmet Hüseyin, Kazancioğlu Hakki Oğuz, Erdem Necip Fazil, Asutay Fatih
*Private Practice †Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
J Craniofac Surg. 2017 Oct;28(7):e657-e661. doi: 10.1097/SCS.0000000000003813.
The aim of this clinical study was to compare the influence of 2 different suturing techniques on postoperative complications and wound healing after surgical extractions of impacted mandibular third molars. In this randomized split mouth study, 30 patients were examined in whom 60 consecutive surgical extractions of symmetrically positioned impacted mandibular third molars were performed. After the extractions, the surgical flaps were sutured with either the simple interrupted or horizontal mattress suturing technique. Postoperative swelling and trismus were recorded on the 2nd, 7th, and 10th days. Pain was recorded in a 7-day diary and wound dehiscence was recorded on the10th postoperative day. Statistical evaluation of data was made using Mann-Whitney U test and Pearson correlation. There were no statistical differences between the 2 suturing techniques in terms of postoperative pain, trismus, and swelling (P > 0.05). There was significantly less wound dehiscence in the horizontal mattress suturing group than in the simple interrupted suturing group (P: 0017). According to the results of this study, the horizontal mattress suturing technique is more effective than the simple interrupted suturing technique on wound healing after impacted mandibular third molar surgery, although it does not decrease the levels of pain, trismus, and swelling.
本临床研究的目的是比较两种不同缝合技术对下颌阻生第三磨牙手术拔除术后并发症及伤口愈合的影响。在这项随机双盲研究中，对30例患者进行了检查，这些患者连续接受了60例对称位置下颌阻生第三磨牙的手术拔除。拔牙后，手术切口瓣分别采用单纯间断缝合或水平褥式缝合技术进行缝合。在术后第2天、第7天和第10天记录术后肿胀和张口受限情况。疼痛情况记录在一份为期7天的日记中，伤口裂开情况在术后第10天记录。使用曼-惠特尼U检验和皮尔逊相关性对数据进行统计学评估。两种缝合技术在术后疼痛、张口受限和肿胀方面无统计学差异（P>0.05）。水平褥式缝合组的伤口裂开明显少于单纯间断缝合组（P：0.017）。根据本研究结果，水平褥式缝合技术在下颌阻生第三磨牙手术后的伤口愈合方面比单纯间断缝合技术更有效，尽管它并不能降低疼痛、张口受限和肿胀的程度。
