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A Prospective Controlled Study on Long-Term Outcomes of Facial Lacerations in Children
- Source :
- Frontiers in Pediatrics, Vol 8 (2021), Frontiers in Pediatrics
- Publication Year :
- 2020
-
Abstract
- Background: Although skin adhesives have been used for decades to treat skin lacerations, uncertainty remains about long-term results, and complications.Methods: In this prospective, controlled, single-blinded, observational cohort study, outcomes were assessed by five plastic surgeons with standardized photographs at 6–12 months using a modified Patient and Observer Scar Assessment Scale (POSAS) and Vancouver Scar Scale (VSS); additionally, the POSAS was performed by the patients/caregivers and the physician; pain, requirement of anesthesia, treatment time, costs, complications, and quality of live (QoL) were assessed.Results: A total of 367 patients were enrolled; 230 were included in the main analysis; 96 wounds were closed using tissue adhesives (group 1); 134 were sutured (group 2). Assessment by the independent observers revealed an improved mean modified overall POSAS score in group 1 in comparison with group 2 [2.1, 95% CI [1.97–2.25] vs. 2.5, 95% CI [2.39–2.63]; p < 0.001, d = 0.58] and mean VSS score [1.2, 95% CI [0.981–1.34] vs. 1.6, 95% CI [1.49–1.79], p < 0.001, d = 0.53]. At the early follow-up, dehiscence rate was 12.5% in group 1 and 3.7% in group 2 (p < 0.001); later on, one dehiscence remained per group. Mild impairment of QoL was found at the early follow-up in both groups, with no impairment remaining later on. Duration of treatment and treatment costs were lower in group 1.Conclusion: Both modalities of wound closure yield favorable esthetic results, and complications are rare. Adhesives are more cost-effective, and its application is less time-consuming; therefore, tissue adhesives offer considerable advantages when used appropriately.Trial Registration: Public trial registration was performed at www.ClinicalTrials.gov (Identifier: NCT03080467).
- Subjects :
- medicine.medical_specialty
pediatrics
Scar assessment
POSAS
610 Medicine & health
Dehiscence
scar
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Long term outcomes
medicine
10220 Clinic for Surgery
2735 Pediatrics, Perinatology and Child Health
Treatment costs
Trial registration
Facial lacerations
Original Research
business.industry
suture
lcsh:RJ1-570
030208 emergency & critical care medicine
VSS
lcsh:Pediatrics
Surgery
blinded
Pediatrics, Perinatology and Child Health
outcome
Wound closure
business
glue
Cohort study
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Frontiers in Pediatrics, Vol 8 (2021), Frontiers in Pediatrics
- Accession number :
- edsair.doi.dedup.....c95a4189aa1cd515ad2c1fc89b5872c1