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Tacking Sutures in Facial Reconstruction: A Systematic Review and Proposal for Revised Nomenclature
Ramiz Nayyer Hamid1, Meagan-Helen Henderson Berg1, Kimberly Shao1
1Dayton Skin Surgery Center, Dayton, Ohio.
Summary
This study proposes a unified nomenclature for tacking sutures in facial reconstruction, classifying them by tissue fixation technique and function for improved clarity in scientific literature.
Area of Science:
- Dermatology
- Plastic Surgery
- Surgical Innovation
Background:
- Tacking sutures in reconstructive skin surgery have varied terminology, often based on fixation or function.
- This lack of standardized nomenclature creates ambiguity in scientific literature.
Purpose of the Study:
- To create a definitive resource defining tacking sutures used in facial reconstruction.
- To introduce a standardized system for naming these sutures.
Main Methods:
- A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Searched MEDLINE and 5 leading skin surgery journals for tacking suture terminology.
- Analyzed 98 relevant articles, categorizing suture names, fixation techniques, and functions.
Main Results:
- Developed consensus-based definitions for tacking suture terminology.
- Classified existing tacking suture names into two main categories: tissue fixation technique and function.
Conclusions:
- Introduced a novel classification system for tacking sutures.
- Proposed binomial nomenclature, with the first term indicating tissue fixation technique and the second indicating function.

