Comparison of Artificial Saliva vs Saline Solution on Rate of Suture Degradation in Oropharyngeal Surgery

Briddell, Jenna W.; Riexinger, Luke E.; Graham, Jove; Ebenstein, Donna M.

doi:10.1001/jamaoto.2018.1441

Cited by 7 publications

(13 citation statements)

References 21 publications

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“…[ 16 ] Another study concluded that PG demonstrated better breaking strength after soaking in physiologic solutions and those with acidic pH, as compared to natural sutures. [ 17 ]…”

Section: Introductionmentioning

confidence: 99%

In-vitro evaluation of commonly used beverages on tensile strength of different suture materials used in dental surgeries

Abullais¹,

AlQahtani²,

Alkhulban

et al. 2020

Medicine

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Sutures are used for the approximation of incised flaps, assistance in primary healing, and hemorrhage control. In oral and periodontal surgery, the appropriate selection of suture material is vital for favorable healing. The aim of the present in-vitro experiment was to evaluate the tensile strengths of 4 different types of suture materials (silk, polygalactine 910, polypropylene, chromic catgut) by simulating potential short-term intraoral exposure to various beverages (saliva, Arabic coffee, tea, cola). A total of 280 suture specimens were prepared, out of which 10 specimens from each group were selected for pre-immersion testing. Remaining suture specimens were immersed in 4 different thermostatically controlled media (1 control [artificial saliva], 3 tests [Cola drink, Arabic coffee, Tea]). Tensile strength was measured at pre-immersion, 3, 7, and 14 days using a universal tensile testing machine. The maximum load required to break the suture material was recorded in Newton. At day 3, tea caused significant reduction in tensile strength of silk and cola caused significant reduction in tensile strengths of polygalactine 910 and chromic catgut. Whereas, at day 7, silk and polypropylene retained their tensile strengths better than others. The authors recommend precaution in the use of these beverages in the first postoperative week, to avoid adverse effect on the mechanical strength of sutures. When exposure to these beverages are anticipated, it is better to use polypropylene sutures that resists rapid fall in tensile strengths in the early postoperative period.

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“…[ 16 ] Another study concluded that PG demonstrated better breaking strength after soaking in physiologic solutions and those with acidic pH, as compared to natural sutures. [ 17 ]…”

Section: Introductionmentioning

confidence: 99%

In-vitro evaluation of commonly used beverages on tensile strength of different suture materials used in dental surgeries

Abullais¹,

AlQahtani²,

Alkhulban

et al. 2020

Medicine

View full text Add to dashboard Cite

show abstract

“…The type of suture must be carefully selected by the surgeon based on the mechanical requirements, rate of degradation and strength loss, and the anticipated rate of healing. This decision is particularly critical in high-tension closures or in patients with prolonged wound healing, such as in cases of immunosuppression, diabetes, or radiation therapy 9 . Only a few references compare or discuss the properties and quality of absorbable suture materials 12–15 .…”

Section: Discussionmentioning

confidence: 99%

“…Several articles in the literature have commented on the tensile strength of suture materials and their ensuing degradation. One study showed that chromic suture had the lowest breaking force before immersion into artificial saliva solution 9 . An early study conducted by Shaw et al 18 investigated the intraoral median survival values of the gut, polyglycolic acid, and polyglactin.…”

Section: Discussionmentioning

confidence: 99%

“…This accelerated loss may contribute to mechanical failure and dehiscence. In regards to chromic gut, it may be more advantageous in regions of lower tension that require less time to heal 9 …”

Section: Discussionmentioning

confidence: 99%

“…A watertight closure is attempted to prevent the migration of saliva into the soft tissues of the head and neck. Migration of saliva can result in significant patient discomfort and morbidity, including fistula formation, wound infection, and dehiscence 9 . In addition, suture can facilitate hemostasis.…”

mentioning

confidence: 99%

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Factors Associated With Complications and Failure in Transoral, Mandible Fracture Repair

Cohn,

Othman,

Zaransky

et al. 2024

Journal of Craniofacial Surgery

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Objective: Open reduction internal fixation (ORIF) of the mandible has been a well-studied topic. However, there has not been a study investigating the relationship between suture type and complications. Methods: A retrospective chart review of patients who sustained mandibular fractures was conducted at an urban level I trauma center (2010–2018). Descriptive statistics were used to categorize the sociodemographic data. χ2 and Mann-Whitney U testing were used to compare variables between the polyglactin 910 (vicryl) and chromic sutured groups. Results: The study cohort consisted of 102 patients who underwent ORIF of the mandible through the transoral approach. Fifty-nine (57.8%) patients were closed with vicryl suture, whereas 43 (42.2%) with chromic gut suture. There were no differences in sociodemographics, immune status, substance abuse status, fracture type, time to repair, and managing care team between the two groups. Both groups had similar rates of wound dehiscence, infection, and revision surgery. Patients who were operated on earlier were more likely to experience a postoperative infection and dehiscence compared with patients operated on later (P = 0.029 and P = 0.008, respectively). Smokers were more likely to experience dehiscence compared with nonsmokers (P = 0.001). Females and immunocompromised patients were more likely to require revision surgery (P < 0.001). Conclusion: Suture type for transoral, ORIF of the mandible does not impact the rate of infection, wound dehiscence, and revision surgery. However, risk factors for complications can include early operative repair, smoking, female sex, and immunosuppression.

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Muscle, Fascia, and Mucosa

Winston

2023

Plastic Neurosurgery

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Comparison of Artificial Saliva vs Saline Solution on Rate of Suture Degradation in Oropharyngeal Surgery

Abstract: Knowing the association of saliva with suture degradation rates of various suture types may enable oropharyngeal surgeons to select sutures that retain their strength and degrade at an appropriate rate to allow for the effective healing of the wound.

Cited by 7 publications

References 21 publications

In-vitro evaluation of commonly used beverages on tensile strength of different suture materials used in dental surgeries

In-vitro evaluation of commonly used beverages on tensile strength of different suture materials used in dental surgeries

Factors Associated With Complications and Failure in Transoral, Mandible Fracture Repair

Muscle, Fascia, and Mucosa

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