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Role of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study

Identifieur interne : 000157 ( Istex/Corpus ); précédent : 000156; suivant : 000158

Role of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study

Auteurs : R. Burkhardt ; N. P. Lang

Source :

RBID : ISTEX:03261EA8998C45F7536FE76F2C76927A23882898

English descriptors

Abstract

Aim: To evaluate the role of suture tension in primary wound closure of mucoperiosteal flaps.

Url:
DOI: 10.1111/j.1600-0501.2009.01829.x

Links to Exploration step

ISTEX:03261EA8998C45F7536FE76F2C76927A23882898

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<head>Abstract</head>
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<hi rend="bold">Aim: </hi>
To evaluate the role of suture tension in primary wound closure of mucoperiosteal flaps.</p>
<p>
<hi rend="bold">Materials and methods: </hi>
Sixty patients, scheduled for a single implant installation, were recruited. Before suturing, the wound closing forces were measured with an electronic tension device. One week after the surgery, the wounds were inspected with regard to complete closure.</p>
<p>
<hi rend="bold">Results: </hi>
The applied tension varied between 0.01 and 0.4 N. In 72% a tension of 0.01–0.1 N was applied, resulting in few dehiscences (10%). Higher closing forces (>0.1 N) increased the percentage of wound dehiscences significantly (≥40%).</p>
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It appears necessary to control flap tension at the time of wound closure to achieve a primary closure.</p>
<p>
<hi rend="bold">To cite this article:</hi>

Burkhardt R, Lang NP. Role of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study.

<hi rend="italic">Clin. Oral Impl. Res</hi>
.
<hi rend="bold">21</hi>
, 2010; 50–54.</p>
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<b>Correspondence to:</b>
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Weinbergstrasse 98
CH‐8006 Zurich
Switzerland
Tel.: +41 44 360 50 50
Fax: +41 44 360 50‐55
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<title type="shortAuthors">Burkhardt & Lang</title>
<title type="short">Role of flap tension in primary wound closure</title>
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<keyword xml:id="k1">implant surgery</keyword>
<keyword xml:id="k2">mucogingival surgery</keyword>
<keyword xml:id="k3">primary wound closure</keyword>
<keyword xml:id="k4">wound dehiscence</keyword>
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<b>Aim: </b>
To evaluate the role of suture tension in primary wound closure of mucoperiosteal flaps.</p>
<p>
<b>Materials and methods: </b>
Sixty patients, scheduled for a single implant installation, were recruited. Before suturing, the wound closing forces were measured with an electronic tension device. One week after the surgery, the wounds were inspected with regard to complete closure.</p>
<p>
<b>Results: </b>
The applied tension varied between 0.01 and 0.4 N. In 72% a tension of 0.01–0.1 N was applied, resulting in few dehiscences (10%). Higher closing forces (>0.1 N) increased the percentage of wound dehiscences significantly (≥40%).</p>
<p>
<b>Conclusions: </b>
It appears necessary to control flap tension at the time of wound closure to achieve a primary closure.</p>
<p>
<b>To cite this article:</b>

Burkhardt R, Lang NP. Role of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study.

<i>Clin. Oral Impl. Res</i>
.
<b>21</b>
, 2010; 50–54.</p>
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<abstract>Aim: To evaluate the role of suture tension in primary wound closure of mucoperiosteal flaps.</abstract>
<abstract>Materials and methods: Sixty patients, scheduled for a single implant installation, were recruited. Before suturing, the wound closing forces were measured with an electronic tension device. One week after the surgery, the wounds were inspected with regard to complete closure.</abstract>
<abstract>Results: The applied tension varied between 0.01 and 0.4 N. In 72% a tension of 0.01–0.1 N was applied, resulting in few dehiscences (10%). Higher closing forces (>0.1 N) increased the percentage of wound dehiscences significantly (≥40%).</abstract>
<abstract>Conclusions: It appears necessary to control flap tension at the time of wound closure to achieve a primary closure.</abstract>
<abstract>To cite this article: 
Burkhardt R, Lang NP. Role of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study.
Clin. Oral Impl. Res. 21, 2010; 50–54.</abstract>
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