| Title | A "round block" purse-string suture in facial reconstruction after operations for skin cancer surgery. | | Author(s) | Patel KK, Telfer MR, Southee R | | Institution | Department of Maxillofacial Surgery, York District Hospital, Wigginton Road, York YO31 8HE, UK. kanak@talk21.com | | Source | Br J Oral Maxillofac Surg 2003 Jun; 41(3):151-6. | | MeSH | Adult
Aged
Aged, 80 and over
Carcinoma, Basal Cell
Carcinoma, Squamous Cell
Esthetics
Face
Follow-Up Studies
Head and Neck Neoplasms
Humans
Middle Aged
Patient Satisfaction
Reconstructive Surgical Procedures
Skin
Skin Neoplasms
Skin Transplantation
Suture Techniques
Treatment Outcome
| | Abstract | Removal of skin cancers in the head and neck region usually results in a circular or oval defect, which must be reconstructed immediately using one of several techniques. Larger defects can present a difficult aesthetic problem. The purse-string suture is particularly suited to such large defects where the skin is lax. We report 51 cases where this technique was used in the head and neck region. All defects were considerably reduced in size and some required a small skin graft to complete the reconstruction. Initially many redundant skin folds and considerable local distortion were seen but these improved with time. The technique is simple, inexpensive, and the results are satisfactory in appropriately selected cases. Comprehensive discussion to prepare patients for the gross initial distortion and the long period of retention of the suture makes the procedure acceptable to patients. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 12804538 |
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