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

Xiaomeng Liu; Patty J. Nelemans; Lisa D. S. Frenk; Helma Sengers; Stephania M. H. Tuinder; Peter M. Steijlen; Klara Mosterd; Nicole W. J. Kelleners-Smeets

doi:10.1016/j.jaad.2017.04.1128

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

Xiaomeng Liu^*, Patty J. Nelemans, Lisa D. S. Frenk, Helma Sengers, Stephania M. H. Tuinder, Peter M. Steijlen, Klara Mosterd, Nicole W. J. Kelleners-Smeets

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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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.

Original language	English
Pages (from-to)	911-919
Number of pages	9
Journal	Journal of the American Academy of Dermatology
Volume	77
Issue number	5
DOIs	https://doi.org/10.1016/j.jaad.2017.04.1128
Publication status	Published - Nov 2017

Keywords

aesthetic outcome
complications
cosmetic result
dermatologic surgery
POSAS
running subcuticular suture
simple interrupted suture
suturing technique
wound healing
SCAR ASSESSMENT SCALE
OPEN-HEART-SURGERY
PATIENT
RELIABILITY

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10.1016/j.jaad.2017.04.1128

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Cite this

Liu, X., Nelemans, P. J., Frenk, L. D. S., Sengers, H., Tuinder, S. M. H., Steijlen, P. M., Mosterd, K., & Kelleners-Smeets, N. W. J. (2017). Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial. Journal of the American Academy of Dermatology, 77(5), 911-919. https://doi.org/10.1016/j.jaad.2017.04.1128

@article{2a4544d134114106be38494487eb2d45,

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

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.",

keywords = "aesthetic outcome, complications, cosmetic result, dermatologic surgery, POSAS, running subcuticular suture, simple interrupted suture, suturing technique, wound healing, SCAR ASSESSMENT SCALE, OPEN-HEART-SURGERY, PATIENT, RELIABILITY",

author = "Xiaomeng Liu and Nelemans, {Patty J.} and Frenk, {Lisa D. S.} and Helma Sengers and Tuinder, {Stephania M. H.} and Steijlen, {Peter M.} and Klara Mosterd and Kelleners-Smeets, {Nicole W. J.}",

year = "2017",

month = nov,

doi = "10.1016/j.jaad.2017.04.1128",

language = "English",

volume = "77",

pages = "911--919",

journal = "Journal of the American Academy of Dermatology",

issn = "0190-9622",

publisher = "MOSBY-ELSEVIER",

number = "5",

}

Liu, X, Nelemans, PJ, Frenk, LDS, Sengers, H, Tuinder, SMH , Steijlen, PM , Mosterd, K & Kelleners-Smeets, NWJ 2017, 'Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial', Journal of the American Academy of Dermatology, vol. 77, no. 5, pp. 911-919. https://doi.org/10.1016/j.jaad.2017.04.1128

Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery: A randomized controlled trial. / Liu, Xiaomeng; Nelemans, Patty J.; Frenk, Lisa D. S. et al.
In: Journal of the American Academy of Dermatology, Vol. 77, No. 5, 11.2017, p. 911-919.

Research output: Contribution to journal › Article › Academic › peer-review

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T1 - Aesthetic outcome and complications of simple interrupted versus running subcuticular sutures in facial surgery

T2 - A randomized controlled trial

AU - Liu, Xiaomeng

AU - Nelemans, Patty J.

AU - Frenk, Lisa D. S.

AU - Sengers, Helma

AU - Tuinder, Stephania M. H.

AU - Steijlen, Peter M.

AU - Mosterd, Klara

AU - Kelleners-Smeets, Nicole W. J.

PY - 2017/11

Y1 - 2017/11

N2 - 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.

AB - 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.

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KW - complications

KW - cosmetic result

KW - dermatologic surgery

KW - POSAS

KW - running subcuticular suture

KW - simple interrupted suture

KW - suturing technique

KW - wound healing

KW - SCAR ASSESSMENT SCALE

KW - OPEN-HEART-SURGERY

KW - PATIENT

KW - RELIABILITY

U2 - 10.1016/j.jaad.2017.04.1128

DO - 10.1016/j.jaad.2017.04.1128

M3 - Article

C2 - 28728869

SN - 0190-9622

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SP - 911

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JO - Journal of the American Academy of Dermatology

JF - Journal of the American Academy of Dermatology

IS - 5

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