Burn and Plastic Surgery Department, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang City, Hunan Province, China.
J Paediatr Child Health. 2022 Nov;58(11):2039-2043. doi: 10.1111/jpc.16147. Epub 2022 Aug 4.
To explore the effect of absorbable collagen thread and cosmetic suture technique on scar inhibition after emergency facial trauma in children, and to explore the application value of absorbable collagen thread in emergency facial trauma.
Children who received emergency treatment of facial trauma in plastic surgery department from January 2021 to January 2022 were analysed retrospectively, and were divided into absorbable collagen thread group and non-absorbable nylon thread group. The general data, scar appearance and local symptoms of the two groups were analysed, and the scar appearance was scored by scar beauty rating scale and non-inferiority test was analysed statistically.
A total of 632 children with facial trauma were included in this study, including 458 patients with absorbable collagen thread and 174 patients with non-absorbable nylon thread. The SCAR score of the absorbable collagen thread group (3.03 ± 1.57) was similar to that of the non-absorbable nylon thread group (2.98 ± 2.39) (95% confidence interval), and the final scar outcome score was not statistically different (P > 0.05). All families of the patients were satisfied with the results of the procedure, 95% very satisfied.
The use of absorbable collagen thread and cosmetic suture technique to treat the wounds of children with facial emergency trauma, resulted in good wound healing, little scar expansion, low incidence of erythema and pigment abnormality, no obvious surgical trace, and no scar hypertrophy or atrophy. The overall impression was good, the pain of stitch removal was avoided for children's patients, and the satisfaction of family members was high. Cosmetic suture technique with absorbable sutures is worthy of clinical application.
探讨可吸收胶原线与美容缝合技术对儿童急诊面部外伤后瘢痕抑制的效果，探索可吸收胶原线在急诊面部外伤中的应用价值。
回顾性分析整形美容外科 2021 年 1 月至 2022 年 1 月收治的急诊面部外伤患儿的临床资料，按缝线种类分为可吸收胶原线组和不可吸收尼龙线组，分析两组患儿的一般资料、瘢痕外观及局部症状，采用瘢痕美观评分量表对瘢痕外观进行评分，并进行非劣性检验。
共纳入 632 例面部外伤患儿，其中可吸收胶原线组 458 例，不可吸收尼龙线组 174 例。可吸收胶原线组的 SCAR 评分（3.03±1.57）与不可吸收尼龙线组（2.98±2.39）相似（95%置信区间），最终瘢痕结局评分差异无统计学意义（P＞0.05）。所有患儿家属对手术效果均满意，非常满意达 95%。
应用可吸收胶原线联合美容缝合技术处理儿童急诊面部外伤的伤口，愈合良好，瘢痕扩展小，红斑及色素异常发生率低，手术痕迹不明显，无瘢痕增生或萎缩，整体印象良好，避免了患儿拆线的痛苦，且家属满意度高。可吸收缝线美容缝合技术值得临床应用。
