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The role played by a suspended external-internal suture in reducing marginal flap tension after bone reconstruction: a clinical prospective cohort study in the maxilla.

Identifieur interne : 000B32 ( PubMed/Curation ); précédent : 000B31; suivant : 000B33

The role played by a suspended external-internal suture in reducing marginal flap tension after bone reconstruction: a clinical prospective cohort study in the maxilla.

Auteurs : Luca De Stavola ; Jochen Tunkel

Source :

RBID : pubmed:25032773

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English descriptors

Abstract

To define the role played by a suspended external-internal (SEI) suture in reducing marginal flap tension after bone augmentation in the maxilla and in enhancing primary wound healing.

PubMed: 25032773

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pubmed:25032773

Le document en format XML

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<title xml:lang="en">The role played by a suspended external-internal suture in reducing marginal flap tension after bone reconstruction: a clinical prospective cohort study in the maxilla.</title>
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<name sortKey="De Stavola, Luca" sort="De Stavola, Luca" uniqKey="De Stavola L" first="Luca" last="De Stavola">Luca De Stavola</name>
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<name sortKey="Tunkel, Jochen" sort="Tunkel, Jochen" uniqKey="Tunkel J" first="Jochen" last="Tunkel">Jochen Tunkel</name>
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<title xml:lang="en">The role played by a suspended external-internal suture in reducing marginal flap tension after bone reconstruction: a clinical prospective cohort study in the maxilla.</title>
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<name sortKey="De Stavola, Luca" sort="De Stavola, Luca" uniqKey="De Stavola L" first="Luca" last="De Stavola">Luca De Stavola</name>
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<name sortKey="Tunkel, Jochen" sort="Tunkel, Jochen" uniqKey="Tunkel J" first="Jochen" last="Tunkel">Jochen Tunkel</name>
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<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="eISSN">1942-4434</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Guided Tissue Regeneration, Periodontal (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Surgical Flaps (surgery)</term>
<term>Suture Techniques</term>
<term>Time Factors</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Régénération tissulaire guidée parodontale ()</term>
<term>Sujet âgé</term>
<term>Techniques de suture</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Guided Tissue Regeneration, Periodontal</term>
<term>Reconstructive Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Suture Techniques</term>
<term>Time Factors</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Régénération tissulaire guidée parodontale</term>
<term>Sujet âgé</term>
<term>Techniques de suture</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">To define the role played by a suspended external-internal (SEI) suture in reducing marginal flap tension after bone augmentation in the maxilla and in enhancing primary wound healing.</div>
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<DateCompleted>
<Year>2014</Year>
<Month>12</Month>
<Day>12</Day>
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<DateRevised>
<Year>2014</Year>
<Month>07</Month>
<Day>18</Day>
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<Article PubModel="Print">
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<ISSN IssnType="Electronic">1942-4434</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>29</Volume>
<Issue>4</Issue>
<PubDate>
<MedlineDate>2014 Jul-Aug</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>The role played by a suspended external-internal suture in reducing marginal flap tension after bone reconstruction: a clinical prospective cohort study in the maxilla.</ArticleTitle>
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<MedlinePgn>921-6</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.11607/jomi.3370</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To define the role played by a suspended external-internal (SEI) suture in reducing marginal flap tension after bone augmentation in the maxilla and in enhancing primary wound healing.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty partially edentulous patients requiring bone augmentation (either guided bone regeneration or autogenous bone block placement) before or simultaneous with implant insertion in the maxilla were enrolled in this clinical prospective cohort study. Flap tension was measured by a dynamometer, which was accurate to within 1 g. The force recorded was that needed to enable the vestibular extensible flap to reach the edge of the palatal nonextensible flap. Flap tension was recorded after the periosteum-releasing incision was made (before application of any suture; T1), and after the SEI suture was applied (T2). Final marginal flap adaptation was accomplished via horizontal mattress sutures and simple stitches. Wound healing was monitored at 1, 2, 4, and 16 weeks and classified as "obtained primary closure" or "compromised" as a result of dehiscence or marginal flap necrosis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean flap tension measured at T1 was 32.9 ± 7.7 g. After the SEI suture was applied, the mean marginal flap tension decreased to 4.1 ± 1.5 g. The marginal flap tension was reduced by 87.6% compared to the initial strain. All patients healed uneventfully, and no complications such as dehiscences or marginal flap necrosis were recorded.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The application of the SEI suture reduced the tension on the margins of the flaps and played a decisive role in obtaining primary wound healing. In case of passive wound closure (strain < 5 g), the type of augmentation procedure (guided bone regeneration or autogenous block) was revealed to have no impact on the quality of wound healing.</AbstractText>
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<ForeName>Jochen</ForeName>
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<Language>eng</Language>
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<DescriptorName UI="D013536" MajorTopicYN="Y">Suture Techniques</DescriptorName>
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