Kasi Ganesh Sriraam, Panneerselvam Elavenil, Sharma Abhinav K, Raja Vb Krishnakumar
PG Trainee, Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram Campus, Ramapuram, Chennai, India.
Reader, Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram Campus, Ramapuram, Chennai, India.
J Oral Maxillofac Surg. 2018 Sep;76(9):1954.e1-1954.e4. doi: 10.1016/j.joms.2018.03.017. Epub 2018 Mar 21.
Suturing is the most commonly used method of wound closure in intraoral surgery, whose objectives include anatomic reapproximation of tissues, hemostasis, and prevention of wound contamination by providing an adequate tissue seal. Conventional suturing in the oral cavity is difficult because of the restricted space for instrumentation. Further, knots act as a nidus to food entrapment and microbial colonization. The knotless (barbed) suture could be considered an ideal alternative to eliminate these limitations. This report describes the effectiveness of the intraoral use of the knotless suture after open reduction and internal fixation of maxillofacial fractures.
缝合是口腔内手术中最常用的伤口闭合方法，其目的包括使组织进行解剖学上的重新对合、止血以及通过提供足够的组织密封来防止伤口污染。由于口腔内器械操作空间受限，传统的口腔缝合操作困难。此外，缝线结会成为食物滞留和微生物定植的病灶。无缝线（带倒刺）缝合可被视为消除这些局限性的理想替代方法。本报告描述了在颌面部骨折切开复位内固定术后口腔内使用无缝线缝合的有效性。
