دورية أكاديمية
أعرض في EDS

Aesthetic outcome of intermediate closure versus intermediate closure followed by 2-octyl cyanoacrylate: A randomized evaluator-blinded split-wound comparative effectiveness trial.

التفاصيل البيبلوغرافية
العنوان: Aesthetic outcome of intermediate closure versus intermediate closure followed by 2-octyl cyanoacrylate: A randomized evaluator-blinded split-wound comparative effectiveness trial.
المؤلفون: Kwapnoski Z; Department of Dermatology, University of California Davis School of Medicine, Sacramento, California. Electronic address: zkwapnoski@gmail.com., Doost MS; Department of Dermatology, University of California Davis School of Medicine, Sacramento, California., Vy M; Department of Dermatology, University of California Davis School of Medicine, Sacramento, California., Eisen DB; Department of Dermatology, University of California Davis School of Medicine, Sacramento, California.
المصدر: Journal of the American Academy of Dermatology [J Am Acad Dermatol] 2024 Mar; Vol. 90 (3), pp. 577-584. Date of Electronic Publication: 2023 Oct 20.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Mosby Country of Publication: United States NLM ID: 7907132 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6787 (Electronic) Linking ISSN: 01909622 NLM ISO Abbreviation: J Am Acad Dermatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: St. Louis, Mo., Mosby
مواضيع طبية MeSH: Cicatrix*/etiology , Cicatrix*/prevention & control , Cicatrix*/pathology , Suture Techniques*, Humans ; Cyanoacrylates/therapeutic use ; Sutures ; Esthetics ; Treatment Outcome
مستخلص: Background: Dermatologic surgeons are increasingly using surgical adhesives in their practice. Studies comparing sutured wounds to those that utilize a combination of suturing and skin adhesive have not been previously conducted.
Objective: To compare the cosmetic outcome and patient wound care satisfaction of an intermediate suture closure with an intermediate suture closure followed by the application of 2-octyl cyanoacrylate (2-OCA).
Methods: Fifty patients were enrolled in a randomized, evaluator-blinded, split-scar study. Following intermediate sutured closure of a surgical defect, one side of the wound was randomized to receive an additional application of 2-OCA. After 3 months, the scar was assessed using the POSAS tool and patients reported wound care preferences.
Results: As the primary outcome measure, the mean sum of observer POSAS was 12.80 for sutured closure alone versus 12.40 for sutured closures followed by 2-OCA (P = .49).
Limitations: Single-center study of a relatively homogenous population.
Conclusion: Although there were no significant differences in scar cosmesis, both patients and observers tended to prefer the side with an additional application of 2-OCA in most POSAS components, in overall opinion, and in patient wound care satisfaction. Dermatologic surgeons may add this to their practice without sacrificing scar outcomes or patient satisfaction.
Competing Interests: Conflicts of interest None disclosed.
(Copyright © 2023 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: 2-octyl cyanoacrylate; POSAS; scar appearance; split scar; surgery; surgical adhesives; wound cosmesis
المشرفين على المادة: 6C655P1XVG (octyl 2-cyanoacrylate)
0 (Cyanoacrylates)
تواريخ الأحداث: Date Created: 20231022 Date Completed: 20240214 Latest Revision: 20240214
رمز التحديث: 20240214
DOI: 10.1016/j.jaad.2023.10.028
PMID: 37866453
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-6787
DOI:10.1016/j.jaad.2023.10.028