Cosmetic outcomes of facial lacerations repaired with tissue-adhesive, absorbable, and nonabsorbable sutures. The American journal of emergency medicine. [Am J Emerg Med] Journal article | | Title | Cosmetic outcomes of facial lacerations repaired with tissue-adhesive, absorbable, and nonabsorbable sutures. | | Author(s) | Holger JS, Wandersee SC, Hale DB | | Institution | Department of Emergency Medicine, Regions Hospital, 640 Jackson Street, St Paul, Minnesota, USA. Joel.S.Holger@HealthPartners.com | | Source | Am J Emerg Med 2004 Jul; 22(4):254-7. | | MeSH | Adult
Comparative Study
Cyanoacrylates
Face
Female
Humans
Lacerations
Male
Nylons
Research Support, Non-U.S. Gov't
Sutures
| | Abstract | The objective of this study was to compare the 9- to 12-month cosmetic outcome of facial lacerations closed with rapid-absorbing gut suture (RG), octylcyanoacrylate (OC), or nylon suture (NL). We hypothesized that no important differences would exist between these methods. This prospective, randomized study enrolled consecutive patients with facial lacerations when experienced physician assistants were on duty for wound closure. Patients returned at 9 to 12 months for cosmetic evaluation. Two blinded physicians performed visual analog cosmesis scale (VACS) scoring, and the patient completed a VAS satisfaction score. One hundred forty-five patients were enrolled. Nine-month follow up occurred in 84 patients. The maximum difference within each evaluator's set of scores was 3.6 mm, well below the minimum clinically important difference (MCID) of 10 to 15 mm. We did not detect clinically important differences in cosmetic outcome at 9 to 12 months in patients with facial lacerations closed with RG, OC, or NL, although RG or OC could be preferred to eliminate follow-up visits for suture removal. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
Randomized Controlled Trial
| | PubMed ID | 15258862 |
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