鼻整形术中鼻翼基底切除缝合时使用单丝聚乙醇酸缝线与聚丙烯缝线的比较。
Comparison Between Using Monocryl Suture and Polypropylene Suture in Closure of Alar Base Excision in Rhinoplasty.
作者信息
Aldhabaan Saud A, Hudise Jibril Y, Aldosari Badi F
机构信息
Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, Riyadh, Saudi Arabia.
Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia.
出版信息
Plast Surg (Oakv). 2022 Feb;30(1):59-62. doi: 10.1177/2292550320969651. Epub 2020 Nov 23.
BACKGROUND
Rhinoplasty is one of the most common procedures that act as a challenge for consistent outstanding results. Alar base reduction is a technique of rhinoplasty that is prescribed in many conditions. Wound closure requires using of sutures and there are several types of sutures for this purpose; however, good scar results are necessary for patients'satisfaction.
AIM
To evaluate alar base resection scar results after surgical resection using different types of suturing material.
METHODS
This is a retrospective cohort study that was conducted at King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia. The study was performed by reviewing patient's records and performing post-operative photography for patient who underwent alar base resection. The patients were divided into 2 groups, the first group of patients had the alar base wound closed with interrupted Polypropylene 6/0 and the other group wound was closed with monocryl 6/0 sutures. Visual analog scale was used to investigate basal views.
RESULTS
The study included 80 patients divided into 2 groups, each group included 40 patients, in the first group (Polypropylene group) there were 25% males and 75% females, whereas in the second group (monocryl) there were 15% and 85% males and females, respectively. There were 85% and 82.5% unnoticeable scar reported by the first and second group, respectively; however there was no significant difference between the 2 groups ( = .75).
CONCLUSION
Both Polypropylene and monocryl sutures result in the same result for closing alar base wound post surgically.
背景
隆鼻术是最常见的手术之一，要持续取得出色效果颇具挑战。鼻翼基底缩小术是隆鼻术中在多种情况下都会采用的一种技术。伤口闭合需要使用缝线，为此有多种类型的缝线；然而，为让患者满意，获得良好的瘢痕效果很有必要。
目的
评估使用不同类型缝合材料进行手术切除后鼻翼基底切除的瘢痕效果。
方法
这是一项在沙特阿拉伯王国利雅得阿卜杜勒阿齐兹国王大学医院开展的回顾性队列研究。该研究通过查阅患者记录并对接受鼻翼基底切除的患者进行术后拍照来进行。患者被分为两组，第一组患者的鼻翼基底伤口用6/0聚丙烯间断缝合，另一组伤口用6/0单丝可吸收缝线缝合。采用视觉模拟评分法来研究鼻底视图。
结果
该研究纳入80例患者，分为两组，每组40例。第一组（聚丙烯组）男性占25%，女性占75%，而第二组（单丝可吸收缝线组）男性和女性分别占15%和85%。第一组和第二组分别有85%和82.5%的瘢痕不明显；然而，两组之间无显著差异（P = 0.75）。
结论
聚丙烯缝线和单丝可吸收缝线在术后闭合鼻翼基底伤口方面效果相同。
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