Wang Gui H, Gang Jin Y, Li Yan
Plastic Surgery, Tongling Municipal Hospital, Anhui Medical University, Tongling, CHN.
Plastic Surgery, Wuxi Kaiyi Hospital, Wuxi, CHN.
Cureus. 2025 May 28;17(5):e85000. doi: 10.7759/cureus.85000. eCollection 2025 May.
This study aims to investigate the efficacy of the layer-by-layer moderate tension reduction suture technique in head and facial aesthetic plastic surgery.
A retrospective analysis was performed on the clinical data of 80 patients who underwent head and facial cosmetic and plastic surgery in the outpatient department of our hospital from April 2022 to April 2024. Among these, the experimental group received the layer-by-layer moderate tension reduction suture technique, whereas the control group received the traditional suture technique. The incidence of surgical complications, scar width, and scar quality metrics derived from the Patient and Observer Scar Assessment Scale (POSAS) and Vancouver Scar Scale (VSS) scores were compared between the two groups.
The experimental group had a longer operation time but no complications (0%), compared to the control group's 17.5% complication rate. The χ² test confirmed the experimental group's significantly lower complication rate (P < 0.05). At one, three, six, and 12 months postoperatively, the experimental group had significantly smaller scar widths, lower POSAS scores, and lower VSS scores compared to the control group (all P < 0.05).
The layer-by-layer moderate tension reduction suture technique demonstrated substantial advantages in head and facial aesthetic plastic surgery. It effectively minimized surgical complications, reduced scar width, and enhanced patients' scar appearance scores, making it highly worthy of clinical promotion.
本研究旨在探讨分层适度减张缝合技术在头面部美容整形手术中的疗效。
对2022年4月至2024年4月在我院门诊接受头面部美容整形手术的80例患者的临床资料进行回顾性分析。其中，实验组采用分层适度减张缝合技术，而对照组采用传统缝合技术。比较两组手术并发症发生率、瘢痕宽度以及源自患者和观察者瘢痕评估量表（POSAS）和温哥华瘢痕量表（VSS）评分的瘢痕质量指标。
实验组手术时间较长，但无并发症（0%），而对照组并发症发生率为17.5%。χ²检验证实实验组并发症发生率显著较低（P < 0.05）。术后1个月、3个月、6个月和12个月时，与对照组相比，实验组瘢痕宽度明显更小，POSAS评分和VSS评分更低（均P < 0.05）。
分层适度减张缝合技术在头面部美容整形手术中显示出显著优势。它有效减少了手术并发症，缩小了瘢痕宽度，并提高了患者的瘢痕外观评分，非常值得临床推广。
