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Rapid Resorbable Sutures Are a Favourable Alternative to Non-resorbable Sutures in Closing Transcolumellar Incision
Babak Alinasab1, Per-Olle Haraldsson2
1Division of Otorhinolaryngology Head & Neck Surgery, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden. babak.alinasab@karolinska.se.
Aesthetic Plastic Surgery
|June 3, 2016
Summary
Rapid resorbable sutures in rhinoplasty significantly reduce patient discomfort compared to non-resorbable sutures. This study found no difference in scarring outcomes for transcolumellar incisions when using these different suture types.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Wound Closure
Background:
- Open rhinoplasty frequently utilizes inverted-V incisions for primary and revision procedures.
- While columellar scars are typically minimal with careful closure, suture removal can be painful and time-consuming.
Purpose of the Study:
- To evaluate the efficacy of rapid resorbable sutures versus non-resorbable sutures in nasal transcolumellar incisions.
- Key comparison points include patient discomfort, scar appearance, and infection rates.
Main Methods:
- A retrospective analysis of 41 patients undergoing open rhinoplasty with midcolumellar inverted-V incisions.
- Patients were divided into two groups: 21 treated with polypropylene (non-resorbable) sutures and 20 with polygalactic acid (rapidly resorbable) sutures.
- Outcomes were assessed via patient questionnaires on discomfort and scar visibility, alongside independent surgeon evaluations of postoperative photographs.
Main Results:
- Trimming rapidly resorbable sutures caused significantly less discomfort than extracting non-resorbable sutures (p ≤ 0.01).
- Approximately 98% of patients reported non-disturbing scars, with high percentages in both groups considering scars nearly invisible.
- No postoperative infections were observed in either suture group.
Conclusions:
- Rapidly resorbable sutures offer a less uncomfortable alternative for closing inverted-V transcolumellar incisions in rhinoplasty.
- The choice between resorbable and non-resorbable sutures does not appear to impact the final scarring outcome.
