학술논문
Effect of Suture Type and Suture Distance on Holding Strength in Nasal Septal Laceration Model
Original Investigation
Original Investigation
Document Type
Report
Source
Turkish Archives of Otorhinolaryngology. March 2021, Vol. 59 Issue 1, p1, 7 p.
Subject
Language
English
ISSN
2149-3987
Abstract
Introduction Nasal septal perforation is one of the complications of septorhinoplasty that can lead to uncomfortable symptoms such as crusting, a feeling of nasal obstruction and epistaxis (1). Closure of [...]
Objective: Septal mucosal-perichondrial flaps can be lacerated during the elevation of the flaps. Appropriate repair of the lacerations is essential to prevent the development of septal perforation during the healing process. We aimed to determine the superior suture type and suture distance to use in repairing the lacerations of nasal septal mucosal-perichondrial flaps. Methods: The study used 128 nasal septal mucosal-perichondrial flaps prepared from sheep heads. Experimentally induced lacerations on the mucosal-perichondrial flaps were sutured with two interrupted sutures using one of four suture materials (4-0/5-0 Polyglactin 910, 4-0/5-0 Polydioxanone) and leaving either 5 mm or 10 mm distance between the sutures. Maximum tissue holding: strength ([HS.sub.max]) was measured for each suture material and suture distance used. Results: Mean [HS.sub.max] values were higher for Polyglactin 910 sutures (p Conclusion: Polyglactin 910 suture material with 10 mm space between two adjacent sutures may be more durable than the other suture materials when repairing nasal septal mucosal lacerations. Keywords: Holding strength, nasal septum, septal perforation, suture distance, suture material, cadaveric animal study
Objective: Septal mucosal-perichondrial flaps can be lacerated during the elevation of the flaps. Appropriate repair of the lacerations is essential to prevent the development of septal perforation during the healing process. We aimed to determine the superior suture type and suture distance to use in repairing the lacerations of nasal septal mucosal-perichondrial flaps. Methods: The study used 128 nasal septal mucosal-perichondrial flaps prepared from sheep heads. Experimentally induced lacerations on the mucosal-perichondrial flaps were sutured with two interrupted sutures using one of four suture materials (4-0/5-0 Polyglactin 910, 4-0/5-0 Polydioxanone) and leaving either 5 mm or 10 mm distance between the sutures. Maximum tissue holding: strength ([HS.sub.max]) was measured for each suture material and suture distance used. Results: Mean [HS.sub.max] values were higher for Polyglactin 910 sutures (p Conclusion: Polyglactin 910 suture material with 10 mm space between two adjacent sutures may be more durable than the other suture materials when repairing nasal septal mucosal lacerations. Keywords: Holding strength, nasal septum, septal perforation, suture distance, suture material, cadaveric animal study