NDLI: Effects of Different Suture Materials on Cartilage Reshaping

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Effects of Different Suture Materials on Cartilage Reshaping

Content Provider	JAMA Network
Author	Cagici, Can Alper Cakmak, Ozcan Bal, Nebil Yavuz, Haluk Tuncer, Ilhan
Copyright Year	2008
Abstract	Objective: To examine the effects of different suture materials and suturation techniques on cartilage reshaping in a rabbit model. Methods: Twenty-two rabbits were used. Posterior skin flaps were elevated, and 4 cartilage struts were prepared on each auricula. Each strut was bent at its midpoint, and the skin under the bent area was elevated only in 1 side. The strut was sutured either with catgut, polyglactin 910, polydioxanone, or polypropylene sutures. Anteriorly, the suture was passed subcutaneously on 1 side, while transcutaneously on the other. Animals were killed at the first and fourth months. The shape of the struts was macroscopically evaluated. Inflammation and foreign body reaction around the suture were examined under light microscopy. Results: Maintenance of shape with all suture materials was significantly lower in the transcutaneously sutured group than in the subcutaneously sutured group. Because of high rates of suture loss in the transcutaneously sutured group, further evaluations on cartilage tissue were made only in subcutaneously sutured group. Success rate in maintenance of shape was similarly high in the polydioxanone, polyglactin 910, and polypropylene suture groups; however, it was significantly lower in the catgut suture group. Conclusion: Long-lasting absorbable suture materials are as effective as nonabsorbable ones, and the subcutaneous technique is more effective than the transcutaneous technique.
Ending Page	129
Starting Page	124
Page Count	6
File Format	PDF HTM / HTML
ISSN	15212491
DOI	10.1001/archfaci.10.2.124
Issue Number	2
Volume Number	10
Language	English
Publisher	American Medical Association
Publisher Date	2008-03-01
Access Restriction	Open
Subject Keyword	cartilage catgut polydioxanone sutures polyglactin 910 polypropylene suture foreign-body reaction inflammation
Content Type	Text
Resource Type	Article
Subject	Surgery

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