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A prospective randomized trial of suture material in aural wound closure

Published online by Cambridge University Press:  29 June 2007

D. J. Willatt ,
L. Durham ,
M. F. Ramadan  and
N. Bark-Jones
D. J. Willatt*
Affiliation:
Liverpool
L. Durham
Affiliation:
Liverpool
M. F. Ramadan
Affiliation:
Liverpool
N. Bark-Jones
Affiliation:
Liverpool
*
D. J. Willatt, University Department of Otorhinolaryngology, Royal Liverpool Hospital, Prescot St., Liverpool L69 3BX
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Abstract

The aim of the study was to compare synthetic monofilament suture materials with chromic catgut and silk in aural wound closure. Forty patients undergoing mastoidectomy or tympanoplasty were randomized to closure with either 30 PDS (Polydioxanone) to fascia plus 30 Prolene to skin, or 20 chromic catgut to fascia plus 30 silk to skin. Known or suspected factors affecting wound healing were recorded. Nine patients had post-operative wound infections. The infection rate was significantly lower in wounds closed with PDS and Prolene (χ2 = 6.05, p<.05), and in tympanoplasty operations (χ2 = 4.42, p<.05). Four patients suffered wound dehiscence, all four had been closed with catgut and silk. No other complication of wound healing was noted in the trial. In conclusion, PDS and Prolene are superior suture materials to catgut and silk in the closure of aural wounds.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 9 , September 1988 , pp. 788 - 790
Copyright
Copyright © JLO (1984) Limited 1988

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References

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