It was reported via journal article title: cosmetic outcomes of absorbable versus nonabsorbable sutures in pediatric facial lacerations author(s): raemma p.Luck, md, mba, robert flood, md, dalit eyal, do, john saludades, md, ciana hayes, bs, and john gaughan, phd citation: pediatr emerg care.2008 mar;24(3):137-42.Doi: 10.1097/pec.0b013e3181666f87 this prospective randomized clinical study aimed to compare the long-term cosmetic outcomes of absorbable versus nonabsorbable sutures for facial lacerations in children and to compare the complication rates and parental satisfaction in the 2 groups.From jun2005 to feb2006, 88 patients (ages 1 to 18 years) with isolated linear facial laceration (1 to 5 cm in length) were initially enrolled and were divided into two groups for skin closures: 5-0 or 6-0 fast absorbing surgical gut (ethicon) and nylon suture (ethicon).A total of 47 patients completed the 3-month evaluation which included 23 patients in catgut group (n=17 male and n=6 female; median age of 64 months [24-218 months old]) and 24 patients in nylon group (n=18 male and n=6 female; median age of 81 months [33-225 months old]).Overall, there were 2 cases of wound dehiscence in catgut group.The second patient was a (b)(6) toddler who had mild dehiscence on day 8 necessitating the application of topical adhesive.On the follow-up visit at 3 months, one patient from nylon group was noted with keloid.The study demonstrates that there are no long-term differences in cosmetic outcomes and complication rates between absorbable catgut sutures and traditional nylon sutures in the repair of facial lacerations in the pediatric population.
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