Scar Clinical Trial
Official title:
Aesthetic Outcome of Running Cuticular Suture Distance (2mm vs 5mm) From Wound Edge on the Closure of Linear Wounds on the Head and Neck: a Randomized Evaluator Blinded Split Wound Comparative Effective Trial
It is standard teaching that the top layer of sutures should be placed 3-5mm from the wound edge. However, there is lack of data regarding the most optimal placement of sutures from the wound edge for the best cosmetic outcome. The research team wish to determine if sutures placed closer to the wound edge (2mm) or farther from the wound edge (5mm) makes a difference in the cosmetic outcome of the scar.
Sutures are the standard of care in repairing cutaneous wounds. The majority of surgical reconstructions following a Mohs micrographic surgery and standard surgical excisions require two layers of sutures: a deep (subcutaneous) layer and a top (cutaneous) layer. The deep layer dissolves naturally whereas the top layer may necessitate removal if non-absorbable sutures are used. Given the overall lack of evidence in the literature, the choice of suturing technique is largely dependent on the surgeon's preference. This study aims to investigate whether the distance of simple cuticular suture placement from the wound edge affects wound cosmesis on the head and neck. In other words, we would like to determine which of the following yields a more cosmetically appealing scar: cuticular sutures placed 2 mm from wound edge or cuticular sutures placed 5mm from wound edge. Although a Dermatologic surgery textbook states that simple cuticular sutures should be placed 3 mm-5 mm from the wound edge1, there have not been any studies to evaluate the optimal distance from wound edge to achieve the most cosmetically appealing scar. Overall, there is paucity of data regarding the optimal distance of cuticular suture placement from the wound edge to achieve the most cosmetically appealing scar. The research team hope that the study will provide new insight in cutaneous surgery. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT03646955 -
Partial Breast Versus no Irradiation for Women With Early Breast Cancer
|
N/A | |
Completed |
NCT01706848 -
Celotres for Improvement in Wound Healing and Resulting Scar Consequences Following Suturing of a Wound
|
N/A | |
Recruiting |
NCT01177358 -
Botox in the Healing of Surgical Wounds of the Neck
|
Phase 2 | |
Terminated |
NCT01459666 -
Forehead Scars Following Mohs Micrographic Surgery and Reconstruction for Skin Cancer
|
Phase 4 | |
Completed |
NCT00970671 -
Treatment of Surgical Scars Using the Pulsed Dye Laser
|
N/A | |
Recruiting |
NCT03561376 -
Zinc Oxide Versus Petrolatum Following Skin Surgery
|
Early Phase 1 | |
Completed |
NCT05293652 -
Effect of Hydrocortisone Iontophoresis Versus Hydrocortisone Phonophoresis On Post Surgical Scar
|
N/A | |
Recruiting |
NCT03406143 -
Evaluation of the Effect of CGF in Promoting Mechanical-stretch Induced in Vivo Skin Regeneration
|
N/A | |
Completed |
NCT05527756 -
Evaluation of the Cosmetic Outcomes of Totally Endoscopic Cardiac Surgery
|
||
Completed |
NCT02886988 -
Early Postoperative Prevention and Treatment of Median Sternotomy Scars With Botulinum Toxin Type A Injection
|
Phase 2/Phase 3 | |
Completed |
NCT05618912 -
Scar Appearance After Postoperative Hydrocolloid Dressing Versus Standard Petrolatum Ointment
|
N/A | |
Recruiting |
NCT05408117 -
Impact of Suture Type on Pigment Disturbances in Patients of Skin of Color
|
N/A | |
Completed |
NCT04169438 -
Pilot Study Investigating a Restorative Wound Care Cream Together With Petrolatum on Surgical Excisions
|
N/A | |
Terminated |
NCT02520557 -
An Exploratory Study of Genetic and Clinical Factors for Serious Skin Reactions Among Users of Eslicarbazepine Acetate
|
||
Not yet recruiting |
NCT04621994 -
Cesarean Wound Closure: Dermabond Versus Steri Strips
|
N/A | |
Withdrawn |
NCT03395678 -
Acne Scarring in Skin of Color: Laser vs Microneedling
|
N/A | |
Completed |
NCT02744950 -
Comparison of Scar Results and Time for Closures of Scalp Defects Via Pulley Sutures or Layered Repairs
|
N/A | |
Not yet recruiting |
NCT01005992 -
Fractional Photothermolysis for the Treatment of Burn Scars
|
Phase 1 | |
Recruiting |
NCT04506255 -
Silicone Taping for the Improvement of Abdominal Donor Site Scars
|
N/A | |
Recruiting |
NCT06386549 -
Effect of a Tele-rehabilitation Programme in Children With Burns: a Randomized Controlled Trial
|
N/A |