Absorbable Versus Non-Absorbable Sutures in Open Rhinoplasty: Analysis of Columellar Scarring.

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Scar Management

Background:

• Open rhinoplasty with columellar incision has been popular since the 1930s.
• Various surgical techniques aim to minimize postoperative scarring.
• This study compares absorbable and non-absorbable sutures in open rhinoplasty scar outcomes.

Purpose of the Study:

• To evaluate and compare absorbable and non-absorbable sutures in open rhinoplasty.
• To assess scar properties from both patient and surgeon perspectives.
• To determine the optimal suture material for columellar closure in rhinoplasty.

Main Methods:

• 70 patients undergoing primary open rhinoplasty were included.
• Columellar scars were assessed at least 6 months postoperatively.
• Scar quality was evaluated using the Turkish Patient Observer Scar Assessment Questionnaire and a Scar Assessment Analysis Questionnaire.

Main Results:

• Surgeons rated scar irregularity and stiffness as key concerns for both suture types.
• The non-absorbable suture group (Prolene) showed slightly lower mean scores for overall scarring compared to the absorbable suture group (Vicryl).
• Patient-reported pain was ranked as the least important factor for both groups.

Conclusions:

• Absorbable sutures offer a convenient alternative for columellar closure in open rhinoplasty.
• While non-absorbable sutures may offer marginal benefits in scar appearance, absorbable sutures remain a viable option.
• Further research could explore long-term scar outcomes and patient satisfaction with different suture materials.