PMID- 15258862
OWN - NLM
STAT- MEDLINE
DCOM- 20040903
LR  - 20220330
IS  - 0735-6757 (Print)
IS  - 0735-6757 (Linking)
VI  - 22
IP  - 4
DP  - 2004 Jul
TI  - Cosmetic outcomes of facial lacerations repaired with tissue-adhesive, 
      absorbable, and nonabsorbable sutures.
PG  - 254-7
AB  - The objective of this study was to compare the 9- to 12-month cosmetic outcome of 
      facial lacerations closed with rapid-absorbing gut suture (RG), 
      octylcyanoacrylate (OC), or nylon suture (NL). We hypothesized that no important 
      differences would exist between these methods. This prospective, randomized study 
      enrolled consecutive patients with facial lacerations when experienced physician 
      assistants were on duty for wound closure. Patients returned at 9 to 12 months 
      for cosmetic evaluation. Two blinded physicians performed visual analog cosmesis 
      scale (VACS) scoring, and the patient completed a VAS satisfaction score. One 
      hundred forty-five patients were enrolled. Nine-month follow up occurred in 84 
      patients. The maximum difference within each evaluator's set of scores was 3.6 
      mm, well below the minimum clinically important difference (MCID) of 10 to 15 mm. 
      We did not detect clinically important differences in cosmetic outcome at 9 to 12 
      months in patients with facial lacerations closed with RG, OC, or NL, although RG 
      or OC could be preferred to eliminate follow-up visits for suture removal.
FAU - Holger, Joel S
AU  - Holger JS
AD  - Department of Emergency Medicine, Regions Hospital, 640 Jackson Street, St Paul, 
      Minnesota, USA. Joel.S.Holger@HealthPartners.com
FAU - Wandersee, Steve C
AU  - Wandersee SC
FAU - Hale, David B
AU  - Hale DB
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am J Emerg Med
JT  - The American journal of emergency medicine
JID - 8309942
RN  - 0 (Cyanoacrylates)
RN  - 0 (Nylons)
RN  - 0 (octylcyanoacrylate)
SB  - IM
CIN - Am J Emerg Med. 2005 May;23(3):420-1. PMID: 15915439
MH  - Adult
MH  - Cyanoacrylates/*therapeutic use
MH  - Face
MH  - Female
MH  - Humans
MH  - Lacerations/*surgery
MH  - Male
MH  - Nylons
MH  - *Sutures
EDAT- 2004/07/20 05:00
MHDA- 2004/09/04 05:00
CRDT- 2004/07/20 05:00
PHST- 2004/07/20 05:00 [pubmed]
PHST- 2004/09/04 05:00 [medline]
PHST- 2004/07/20 05:00 [entrez]
AID - S0735675704000452 [pii]
AID - 10.1016/j.ajem.2004.02.009 [doi]
PST - ppublish
SO  - Am J Emerg Med. 2004 Jul;22(4):254-7. doi: 10.1016/j.ajem.2004.02.009.