Avoiding Sutured Tie-Over Dressings on the Nasal Dorsum

Harb, Ayad; Pandya, Aditya

doi:10.1155/2010/958213

Cited by 3 publications

(10 citation statements)

References 6 publications

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“…Fifteen articles met the inclusion criteria involving only skin surgery (for details see Table S1, Supplemental Digital Content 4, http://links.lww.com/DSS/A423. [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] Three studies used randomization, [28][29][30] and 4 studies compared a no tie-over dressing with a tie-over dressing but did not always specify the materials used for the bolster. 27,29,31,33 Two articles mentioned both STSGs and FTSGs and did not subdivide the graft take per technique.…”

Section: Search Resultsmentioning

confidence: 99%

“…28,38 Thirteen studies used only FTSGs. [25][26][27][29][30][31][32][33][34][35][36][37]39 The graft defect size was described in different measurements of length (mm and cm) or surface area (mm 2 and cm 2 ) and varied from 8 mm in length (smallest) 34 to 52.4 cm 2 (largest area). 25 Nine studies reported the use of additional antibiotics: systemic 35 and local.…”

Section: Search Resultsmentioning

confidence: 99%

“…Nine studies reported using no tie-over dressing. 27,29,[31][32][33][34][35]39 Four studies used basting sutures: through-and-through sutures in the middle 33 or central, 29 paracentral, 35 or quilting sutures 31 to maintain approximation between the graft and recipient bed. One study 31 only used sutures to approximate the wound edges; they did not use any basting sutures.…”

Section: Without Tie-overmentioning

confidence: 99%

“…The other study only applied a paraffin-impregnated gauze with adhesive strips after circumferentially suturing the graft to the wound bed (but 6/79 patients did have quilting sutures). 32…”

Section: Without Tie-overmentioning

confidence: 99%

“…32,35,39 Ten studies indicated a complication after surgery, with 20% as the highest reported complication rate. 31 Reported complications of FTSGs were poor color match, 35 reddening or duskiness, 32,34 reaction to the suture material, 32 wound infections, 25,26,28,31,38 hematoma/bleeding, 25,26 crusting or sloughing, 27 and venous thrombosis. 26 In one study, complications were not specified.…”

Section: Graft Take and Complicationsmentioning

confidence: 99%

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To Tie or Not to Tie-Over Full-Thickness Skin Grafts in Dermatologic Surgery: A Systematic Review of the Literature

et al. 2020

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BACKGROUND Tie-over dressings are frequently used for skin grafts. Although a dressing is necessary for split-thickness skin grafts, their use in full-thickness skin grafts (FTSGs) is questionable. OBJECTIVE This review was conducted to investigate the influence of different tie overs and dressings on graft take for FTSGs in cutaneous surgery. MATERIALS AND METHODS An electronic database search was performed in MEDLINE, EMBASE, Web of Science, and the Cochrane library. The following search terms and comparable were used: skin transplantation, tie-over, fixation, sutures, and take. RESULTS Fifteen articles met the inclusion criteria. Eight studies describe no use of a tie-over dressing for FTSGs. Dressing types included antibacterial dressings, foam or sponges, and bolsters. The lowest graft take was 80% (with a tieover dressing). The highest graft take was 100% (with and without a tie-over dressing). CONCLUSION The results show that, regardless of the technique used, the overall graft success rate is high. Although a definite recommendation could not be made, it seems that a graft without a tie-over dressing can suffice in certain circumstances.

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Section: Search Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

Section: Without Tie-overmentioning

confidence: 99%

Section: Without Tie-overmentioning

confidence: 99%

Section: Graft Take and Complicationsmentioning

confidence: 99%

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To Tie or Not to Tie-Over Full-Thickness Skin Grafts in Dermatologic Surgery: A Systematic Review of the Literature

et al. 2020

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Multi-disciplinary management of type 1 and 2 skin tears using a silver-based hydrofiber dressing

Chou,

Yen,

Tseng

et al. 2023

Medicine

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Skin tear is a common problem encountered in the emergency department. If it is not properly managed, it can lead to wound infection, skin necrosis and a need for further surgical intervention and skin grafting. Current management is to cleanse the wound, replace the thin skin tear followed by coverage with a dressing that is inducive for wound healing. Several dressings have been suggested for the coverage of these wounds. But, up to now, there has been no mention of the use of a silver-based hydrofiber dressing in the management of this condition. The objective of this study was to explore the use of a silver-based hydrofiber dressing for the management of paper-thin skin tears. We retrospectively reviewed all patients with Type 1 or 2 skin tears that had undergone management using a silver-based hydrofiber dressing between October 2019 and October 2020. Demographic data and medical history was obtained by retrospective chart review. Data that was collected included: age, sex, comorbid illnesses, defect location, defect size, complications, number of times the silver-based hydrofiber dressing was replaced and the number of days required to achieve complete wound healing. A total of 65 patients were included in the study. There were 42 males and 23 females. There were 28 patients whose age was greater then 85 years old, of which 14 patients were over 90 years old. The mean number of outpatient visits was 2. The mean defect size was 33 cm2 (range 1 cm × 1 cm to 18 × 10 cm). The mean number of days required for total wound healing was 13 days (range 7–21). We did not encounter any patients that required further surgical debridement or split-thickness skin grafting. The use of a silver-based hydrofiber dressing was well tolerated by the elderly population as it provided an easy, efficient, economical and effective form of management of skin tears. We suggest that a silver-based hydrofiber dressing can be used as a first-line treatment method for type 1 and 2 skin tears.

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Wound healing studies and interfacial phenomena: use and relevance of the corneal model

Mann¹,

Tighe²

2011

Advanced Wound Repair Therapies

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Avoiding Sutured Tie-Over Dressings on the Nasal Dorsum

Cited by 3 publications

References 6 publications

To Tie or Not to Tie-Over Full-Thickness Skin Grafts in Dermatologic Surgery: A Systematic Review of the Literature

To Tie or Not to Tie-Over Full-Thickness Skin Grafts in Dermatologic Surgery: A Systematic Review of the Literature

Multi-disciplinary management of type 1 and 2 skin tears using a silver-based hydrofiber dressing

Wound healing studies and interfacial phenomena: use and relevance of the corneal model

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