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Journal of the American Academy of Dermatology
Volume 77, n° 5
pages 911-919 (novembre 2017)
Doi : 10.1016/j.jaad.2017.04.1128
accepted : 27 April 2017
Dermatologic Surgery

Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial
 

Xiaomeng Liu, MD a, b, c, , Patty J. Nelemans, PhD d, Lisa D.S. Frenk, MD e, Helma Sengers, MPA f, Stephania M.H. Tuinder, MD, PhD g, Peter M. Steijlen, MD, PhD a, b, f, Klara Mosterd, MD, PhD a, b, Nicole W.J. Kelleners-Smeets, MD, PhD a, b
a Department of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands 
b GROW, School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands 
c Department of Dermatology, Flevo Hospital Almere, Almere, The Netherlands 
d Department of Epidemiology, Care and Public Health Research Institute, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands 
e Department of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands 
f Department of Dermatology, Catharina Hospital, Eindhoven, The Netherlands 
g Department of Plastic Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands 

Correspondence to: Xiaomeng Liu, MD, Department of Dermatology, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.Department of Dermatology, Maastricht University Medical Centre, P. Debyelaan 25MaastrichtHX6229The Netherlands
Abstract
Background

The suturing technique and its associated complications could affect cosmetic outcome after facial surgery. Literature on this topic is limited.

Objective

To compare the cosmetic results 12 months after treatment and complications associated with simple interrupted sutures (SIS) versus running subcuticular sutures (RSS) in facial surgery.

Methods

A randomized, controlled multicenter trial was performed. Adults receiving dermatologic surgery on the face were randomized to receive SIS or RSS for wound closure. The primary outcome was the overall opinion score on the Patient and Observer Scar Assessment Scale (POSAS) 12 months after surgery. Secondary outcomes were the complication rates and scores according to alternative methods for assessment of cosmetic outcome. The observer of cosmetic outcome was blinded to treatment assignment.

Results

142 patients were randomized to receive SIS (n = 73) or RSS (n = 69). Twelve months after surgery, the median score of the overall opinion on the POSAS was 2.0 (range 1-8) according to the patients and 3.0 (range 1-8) according to the observer in both groups. In the RSS group, hyper- or hypoesthesia was reported more often.

Limitations

The cosmetic result was assessed by 1 observer.

Conclusion

SIS and RSS in facial surgery resulted in comparable cosmetic outcomes. RSS was more often associated with hyper- or hypoesthesia.

The full text of this article is available in PDF format.

Key words : aesthetic outcome, complications, cosmetic result, dermatologic surgery, POSAS, running subcuticular suture, simple interrupted suture, suturing technique, wound healing

Abbreviations used : ITT, MMS, OSAS, POSAS, PP, PSAS, RSS, SD, SIS



 Funding sources: Supported by Galderma Pharma SA.
 Conflicts of interest: None declared.
 Reprints not available from the authors.



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