Aldhabaan Saud, Hudise Jibril Y, ALqarny Mohammed, Alarfaj Ahmed
Otolaryngology, King Faisal Medical City, Abha, SAU.
Otolaryngology, King Abdulaziz University Hospital, Riyadh, SAU.
Cureus. 2020 Aug 15;12(8):e9769. doi: 10.7759/cureus.9769.
Background Open rhinoplasty, including the transcolumellar approach, is commonly performed as it has fewer side effects and provides superior anatomical control to the surgeons compared to closed rhinoplasty. However, the postoperative scar outcomes, such as scar appearance, vary depending on the type of suture used in wound closure, and the optimal suture type is not firmly established. Objective To compare the impact of catgut versus polypropylene sutures on the postoperative transcolumellar scar outcomes and patient satisfaction following open rhinoplasty. Methods This retrospective cohort study, including 100 patients who underwent transcolumellar open rhinoplasty, was conducted at otolaryngology department of King Abdulaziz University Hospital, Riyadh, KSA. The patients were divided into two groups: the propylene suture group (group 1), which included 15 males and 35 females with a mean age of 31.5 years and underwent surgery using propylene sutures, and the catgut suture group (group 2), which included 10 males and 40 females with a mean age of 30.5 years and underwent surgery using catgut sutures. The postoperative transcolumellar scar outcomes, as determined by visual analogue scale (VAS) and Stony Brook Scar Evaluation Scale (SBSES) scores, and patient satisfaction, as assessed using a self-assessment scale, were compared between groups. Results The scars were unnoticeable in the majority of both groups: 88% in group 1 and 86% in group 2. The VAS and SBSES scores did not significantly differ between groups. Patients' satisfaction rates were also comparable and did not significantly differ between groups (p = 0.341). Conclusion Both catgut and polypropylene sutures lead to similar outcomes and patient satisfaction rates in terms of postoperative rhinoplasty transcolumellar scars. Thus, catgut may be the optimal suture for closing transcolumellar incisions following open rhinoplasty.
背景 开放式鼻整形术，包括经鼻小柱入路，因其副作用较少且与闭合式鼻整形术相比能为外科医生提供更好的解剖控制，故而应用广泛。然而，术后瘢痕情况，如瘢痕外观，会因伤口缝合所用缝线类型的不同而有所差异，且最佳缝线类型尚未完全确定。目的 比较羊肠线与聚丙烯缝线对开放式鼻整形术后经鼻小柱瘢痕情况及患者满意度的影响。方法 本回顾性队列研究在沙特阿拉伯利雅得阿卜杜勒阿齐兹国王大学医院耳鼻喉科开展，纳入100例行经鼻小柱开放式鼻整形术的患者。患者被分为两组：聚丙烯缝线组（第1组），包括15名男性和35名女性，平均年龄31.5岁，手术使用聚丙烯缝线；羊肠线缝线组（第2组），包括10名男性和40名女性，平均年龄30.5岁，手术使用羊肠线缝线。比较两组患者术后经鼻小柱瘢痕情况（通过视觉模拟评分法（VAS）和石溪瘢痕评估量表（SBSES）评分确定）及患者满意度（使用自我评估量表评估）。结果 两组中大多数患者的瘢痕都不明显：第1组为88%，第2组为86%。两组间VAS和SBSES评分无显著差异。患者满意度也相近，两组间无显著差异（p = 0.341）。结论 在开放式鼻整形术后经鼻小柱瘢痕方面，羊肠线和聚丙烯缝线导致的结果及患者满意度相似。因此，羊肠线可能是开放式鼻整形术后闭合鼻小柱切口的最佳缝线。
