Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Facial Plast Surg Aesthet Med. 2022 May-Jun;24(3):196-201. doi: 10.1089/fpsam.2021.0091. Epub 2021 Sep 8.
When performing an open rhinoplasty, surgeons commonly use nonabsorbable skin sutures to close the columellar incision. These are believed to minimize scarring. However, removal can be associated with patient discomfort and outcomes may not be superior to using absorbable sutures. To compare difference in scar appearance for columellar closure after rhinoplasty with absorbable and nonabsorbable sutures. We performed a prospective randomized control trial with 61 patients. Forty-one patients completed follow-up and were included in final analysis: 23 whose columellar incision was closed with absorbable sutures and 18 with nonabsorbable sutures. A blinded surgeon performed Stony Brook Evaluation Scale (SBES) and a patient performed Patient Scar Assessment Questionnaire (PSAQ) was completed for each suture type. Our results did not reject the null hypothesis that there is no difference in SBES or PSAQ scores between absorbable and nonabsorbable suture types. No difference was detected in scar outcomes between absorbable and nonabsorbable sutures for closure of the columellar incision created during an open rhinoplasty as rated by both patients and blinded clinicians.
在开放式鼻整形术中，外科医生通常使用不可吸收的皮肤缝线来闭合鼻中隔切口。人们认为这可以最大程度地减少疤痕形成。然而，去除缝线可能会引起患者不适，而且其效果可能并不优于使用可吸收缝线。 为了比较在开放式鼻整形术鼻中隔闭合中使用可吸收缝线和不可吸收缝线在疤痕外观上的差异。 我们进行了一项前瞻性随机对照试验，共有 61 名患者参与。41 名患者完成了随访并纳入最终分析：23 名患者的鼻中隔切口采用可吸收缝线缝合，18 名患者采用不可吸收缝线缝合。一位盲法外科医生进行了 Stony Brook 评估量表（SBES）评分，每位患者完成了患者疤痕评估问卷（PSAQ）。 我们的结果没有拒绝可吸收缝线和不可吸收缝线之间 SBES 或 PSAQ 评分无差异的零假设。 在开放式鼻整形术中闭合鼻中隔切口时，可吸收缝线和不可吸收缝线在疤痕结局方面没有差异，这一点得到了患者和盲法临床医生的一致评价。
