Quantification of Erythema Associated With Continuous Versus Interrupted Nylon Sutures in Facial Surgery Repair: A Randomized Prospective Study
BACKGROUNDPatients are often concerned about the cosmetic appearance of scars following Mohs micrographic surgery (MMS), including residual erythema. However, few studies have compared the cosmetic outcomes between different suturing techniques. OBJECTIVETo compare the erythema intensity (EI) associ...
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| Veröffentlicht in: | Dermatologic surgery 2020-06, Vol.46 (6), p.757-762 |
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| creator | Majd, Ali Akbari, Ardalan Zloty, David |
| description | BACKGROUNDPatients are often concerned about the cosmetic appearance of scars following Mohs micrographic surgery (MMS), including residual erythema. However, few studies have compared the cosmetic outcomes between different suturing techniques.
OBJECTIVETo compare the erythema intensity (EI) associated with interrupted sutures (IS) and continuous sutures (CS), and the degree of its reduction over time.
MATERIALS AND METHODSMohs micrographic surgery patients were randomized to have half of their defect repaired with IS and the other half with CS. Postoperatively, subjects were assessed at 1 week, 2 months, and 6 months and close-up photographs of their scars were taken. Computer-assisted image analysis was utilized to quantify the EI in each half-scar.
RESULTSThe average EI of IS was greater than that of CS by 9.3% at 1 week (p < .001) and 7.2% at 2 months (p < .021) but comparable at 6 months. These differences were clinically detectable, but EI differences resolved by 6 months in most cases. At 6 months, EI regressed by 33.5% in IS and 26.3% in CS.
CONCLUSIONContinuous sutures are associated with less erythema during early scar maturation but are comparable to IS at 6 months. These results may guide the choice of suturing technique to improve early cosmetic outcomes and overall patient satisfaction. |
| doi_str_mv | 10.1097/DSS.0000000000002145 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1097_DSS_0000000000002145</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>31490310</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4015-3ab4313f13686a94ef811102f3c776799f3b0fd3156a4568e258924b33dae6c73</originalsourceid><addsrcrecordid>eNqFkNtO3DAQhi1UBBR4A1T5BQLjQ07crbZQkFA5LIfLyJuMu4ZsEvlQFF6ir1yvFqqKC5ibGVvfNxr9hBwwOGRQ5kffZ7ND-K84k-kG2WEpl4nMefolzpBnCaSMb5Ovzj0CMF4K2CLbgskSBIMd8uc6qM4bbWrlTd_RXtMTO_oFLhWdONfXRnls6IPxCzrtI9mFPjh6j9bFdt55tDYMK-Tn2EZ_Fnyw6Kjp6KmKcht_7C-0I73BQRl7TCf0RnVNvzQvUbqyvRuw9uY30pkPzbhHNrVqHe6_9l1yd3pyOz1LLi5_nE8nF0ktgaWJUHMpmNBMZEWmSom6YIwB16LO8ywvSy3moBvB0kzJNCuQp0XJ5VyIRmFW52KXyPXeOl7gLOpqsGap7FgxqFb5VjHf6n2-Ufu21oYwX2LzT3oLNALFGnju25iNe2rDM9pqgar1i892yw_USEme8yLhwAGy-ExWZiH-ApMimH4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Quantification of Erythema Associated With Continuous Versus Interrupted Nylon Sutures in Facial Surgery Repair: A Randomized Prospective Study</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Majd, Ali ; Akbari, Ardalan ; Zloty, David</creator><creatorcontrib>Majd, Ali ; Akbari, Ardalan ; Zloty, David</creatorcontrib><description>BACKGROUNDPatients are often concerned about the cosmetic appearance of scars following Mohs micrographic surgery (MMS), including residual erythema. However, few studies have compared the cosmetic outcomes between different suturing techniques.
OBJECTIVETo compare the erythema intensity (EI) associated with interrupted sutures (IS) and continuous sutures (CS), and the degree of its reduction over time.
MATERIALS AND METHODSMohs micrographic surgery patients were randomized to have half of their defect repaired with IS and the other half with CS. Postoperatively, subjects were assessed at 1 week, 2 months, and 6 months and close-up photographs of their scars were taken. Computer-assisted image analysis was utilized to quantify the EI in each half-scar.
RESULTSThe average EI of IS was greater than that of CS by 9.3% at 1 week (p < .001) and 7.2% at 2 months (p < .021) but comparable at 6 months. These differences were clinically detectable, but EI differences resolved by 6 months in most cases. At 6 months, EI regressed by 33.5% in IS and 26.3% in CS.
CONCLUSIONContinuous sutures are associated with less erythema during early scar maturation but are comparable to IS at 6 months. These results may guide the choice of suturing technique to improve early cosmetic outcomes and overall patient satisfaction.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/DSS.0000000000002145</identifier><identifier>PMID: 31490310</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Cicatrix - diagnosis ; Cicatrix - etiology ; Cicatrix - prevention & control ; Erythema - diagnosis ; Erythema - etiology ; Face ; Female ; Follow-Up Studies ; Humans ; Male ; Mohs Surgery - adverse effects ; Mohs Surgery - methods ; Nylons - adverse effects ; Prospective Studies ; Severity of Illness Index ; Surgical Wound - etiology ; Surgical Wound - surgery ; Suture Techniques - adverse effects ; Suture Techniques - instrumentation ; Sutures - adverse effects ; Treatment Outcome</subject><ispartof>Dermatologic surgery, 2020-06, Vol.46 (6), p.757-762</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>2020 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4015-3ab4313f13686a94ef811102f3c776799f3b0fd3156a4568e258924b33dae6c73</citedby><cites>FETCH-LOGICAL-c4015-3ab4313f13686a94ef811102f3c776799f3b0fd3156a4568e258924b33dae6c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31490310$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Majd, Ali</creatorcontrib><creatorcontrib>Akbari, Ardalan</creatorcontrib><creatorcontrib>Zloty, David</creatorcontrib><title>Quantification of Erythema Associated With Continuous Versus Interrupted Nylon Sutures in Facial Surgery Repair: A Randomized Prospective Study</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUNDPatients are often concerned about the cosmetic appearance of scars following Mohs micrographic surgery (MMS), including residual erythema. However, few studies have compared the cosmetic outcomes between different suturing techniques.
OBJECTIVETo compare the erythema intensity (EI) associated with interrupted sutures (IS) and continuous sutures (CS), and the degree of its reduction over time.
MATERIALS AND METHODSMohs micrographic surgery patients were randomized to have half of their defect repaired with IS and the other half with CS. Postoperatively, subjects were assessed at 1 week, 2 months, and 6 months and close-up photographs of their scars were taken. Computer-assisted image analysis was utilized to quantify the EI in each half-scar.
RESULTSThe average EI of IS was greater than that of CS by 9.3% at 1 week (p < .001) and 7.2% at 2 months (p < .021) but comparable at 6 months. These differences were clinically detectable, but EI differences resolved by 6 months in most cases. At 6 months, EI regressed by 33.5% in IS and 26.3% in CS.
CONCLUSIONContinuous sutures are associated with less erythema during early scar maturation but are comparable to IS at 6 months. These results may guide the choice of suturing technique to improve early cosmetic outcomes and overall patient satisfaction.</description><subject>Cicatrix - diagnosis</subject><subject>Cicatrix - etiology</subject><subject>Cicatrix - prevention & control</subject><subject>Erythema - diagnosis</subject><subject>Erythema - etiology</subject><subject>Face</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Mohs Surgery - adverse effects</subject><subject>Mohs Surgery - methods</subject><subject>Nylons - adverse effects</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Surgical Wound - etiology</subject><subject>Surgical Wound - surgery</subject><subject>Suture Techniques - adverse effects</subject><subject>Suture Techniques - instrumentation</subject><subject>Sutures - adverse effects</subject><subject>Treatment Outcome</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkNtO3DAQhi1UBBR4A1T5BQLjQ07crbZQkFA5LIfLyJuMu4ZsEvlQFF6ir1yvFqqKC5ibGVvfNxr9hBwwOGRQ5kffZ7ND-K84k-kG2WEpl4nMefolzpBnCaSMb5Ovzj0CMF4K2CLbgskSBIMd8uc6qM4bbWrlTd_RXtMTO_oFLhWdONfXRnls6IPxCzrtI9mFPjh6j9bFdt55tDYMK-Tn2EZ_Fnyw6Kjp6KmKcht_7C-0I73BQRl7TCf0RnVNvzQvUbqyvRuw9uY30pkPzbhHNrVqHe6_9l1yd3pyOz1LLi5_nE8nF0ktgaWJUHMpmNBMZEWmSom6YIwB16LO8ywvSy3moBvB0kzJNCuQp0XJ5VyIRmFW52KXyPXeOl7gLOpqsGap7FgxqFb5VjHf6n2-Ufu21oYwX2LzT3oLNALFGnju25iNe2rDM9pqgar1i892yw_USEme8yLhwAGy-ExWZiH-ApMimH4</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Majd, Ali</creator><creator>Akbari, Ardalan</creator><creator>Zloty, David</creator><general>Lippincott Williams & Wilkins</general><general>by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20200601</creationdate><title>Quantification of Erythema Associated With Continuous Versus Interrupted Nylon Sutures in Facial Surgery Repair: A Randomized Prospective Study</title><author>Majd, Ali ; Akbari, Ardalan ; Zloty, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4015-3ab4313f13686a94ef811102f3c776799f3b0fd3156a4568e258924b33dae6c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cicatrix - diagnosis</topic><topic>Cicatrix - etiology</topic><topic>Cicatrix - prevention & control</topic><topic>Erythema - diagnosis</topic><topic>Erythema - etiology</topic><topic>Face</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Mohs Surgery - adverse effects</topic><topic>Mohs Surgery - methods</topic><topic>Nylons - adverse effects</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Surgical Wound - etiology</topic><topic>Surgical Wound - surgery</topic><topic>Suture Techniques - adverse effects</topic><topic>Suture Techniques - instrumentation</topic><topic>Sutures - adverse effects</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Majd, Ali</creatorcontrib><creatorcontrib>Akbari, Ardalan</creatorcontrib><creatorcontrib>Zloty, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Majd, Ali</au><au>Akbari, Ardalan</au><au>Zloty, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantification of Erythema Associated With Continuous Versus Interrupted Nylon Sutures in Facial Surgery Repair: A Randomized Prospective Study</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>46</volume><issue>6</issue><spage>757</spage><epage>762</epage><pages>757-762</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUNDPatients are often concerned about the cosmetic appearance of scars following Mohs micrographic surgery (MMS), including residual erythema. However, few studies have compared the cosmetic outcomes between different suturing techniques.
OBJECTIVETo compare the erythema intensity (EI) associated with interrupted sutures (IS) and continuous sutures (CS), and the degree of its reduction over time.
MATERIALS AND METHODSMohs micrographic surgery patients were randomized to have half of their defect repaired with IS and the other half with CS. Postoperatively, subjects were assessed at 1 week, 2 months, and 6 months and close-up photographs of their scars were taken. Computer-assisted image analysis was utilized to quantify the EI in each half-scar.
RESULTSThe average EI of IS was greater than that of CS by 9.3% at 1 week (p < .001) and 7.2% at 2 months (p < .021) but comparable at 6 months. These differences were clinically detectable, but EI differences resolved by 6 months in most cases. At 6 months, EI regressed by 33.5% in IS and 26.3% in CS.
CONCLUSIONContinuous sutures are associated with less erythema during early scar maturation but are comparable to IS at 6 months. These results may guide the choice of suturing technique to improve early cosmetic outcomes and overall patient satisfaction.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>31490310</pmid><doi>10.1097/DSS.0000000000002145</doi><tpages>6</tpages></addata></record> |
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| subjects | Cicatrix - diagnosis Cicatrix - etiology Cicatrix - prevention & control Erythema - diagnosis Erythema - etiology Face Female Follow-Up Studies Humans Male Mohs Surgery - adverse effects Mohs Surgery - methods Nylons - adverse effects Prospective Studies Severity of Illness Index Surgical Wound - etiology Surgical Wound - surgery Suture Techniques - adverse effects Suture Techniques - instrumentation Sutures - adverse effects Treatment Outcome |
| title | Quantification of Erythema Associated With Continuous Versus Interrupted Nylon Sutures in Facial Surgery Repair: A Randomized Prospective Study |
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