Clinical practice will probably evolve gradually, but raters found no significant differences between two repair techniques.
Dermatologic surgeons are always looking for better ways to close defects and leave less-visible scars by minimizing epidermal injury. Cochrane reviewers have noted numerous limitations in earlier studies that compared techniques.
These researchers compared the appearance and function of excisional defects of the cheeks after repair by bilayered linear closure and repair with buried sutures but with adhesive strips substituted for epidermal sutures. Patients were prospectively randomized to receive layered closure to one half of the repair and buried sutures with adhesive strip closure to the other half, and blinded raters evaluated the resulting scars 2 to 4 months later. They assessed scar contour (flatness and smoothness), redness, and ov…
Reviewing Author
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)