Even use of epidermal sutures is not superior to that of adhesive alone, when undermining and deep sutures are used, even in a high-tension anatomic area.
Yang and Ozog compared the utility of epidermal adhesive strips with the utility of interrupted epidermal sutures, when each option was paired with use of buried vertical mattress sutures for dermal-subcutaneous closure of surgical excisions of the back.
In 10 patients with closures at least 3 cm in length, appearance as rated by a blinded assessor using the Patient Observer Scar Assessment Scale and patient satisfaction were superior in the adhesive group at 2 weeks. However, scale-based appearance no longer differed between groups at 3 or 6 months.
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)