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Effects of Different Suture Materials on Cartilage Reshaping
Abstract
Objective: To examine the effects of different suture materials and suturation techniques on cartilage reshaping in a rabbit model. Methods: Twenty-two rabbits were used. Posterior skin flaps were elevated, and 4 cartilage struts were prepared on each auricula. Each strut was bent at its midpoint, and the skin under the bent area was elevated only in 1 side. The strut was sutured either with catgut, polyglactin 910, polydioxanone, or polypropylene sutures. Anteriorly, the suture was passed subcutaneously on 1 side, while transcutaneously on the other. Animals were killed at the first and fourth months. The shape of the struts was macroscopically evaluated. Inflammation and foreign body reaction around the suture were examined under light microscopy. Results: Maintenance of shape with all suture materials was significantly lower in the transcutaneously sutured group than in the subcutaneously sutured group. Because of high rates of suture loss in the transcutaneously sutured group, further evaluations on cartilage tissue were made only in subcutaneously sutured group. Success rate in maintenance of shape was similarly high in the polydioxanone, polyglactin 910, and polypropylene suture groups; however, it was significantly lower in the catgut suture group. Conclusion: Long-lasting absorbable suture materials are as effective as nonabsorbable ones, and the subcutaneous technique is more effective than the transcutaneous technique.
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“Cagici et al. [26] demonstrated that long-term absorbable sutures such as polydioxanone (PDS) induce less inflammatory reaction and promote better tissue adaptation compared with non-absorbable materials like polypropylene (propylene).”
From Comparative Analysis of Mustardé, Fascioperichondrial Flap, and Combined Otoplasty Techniques: Clinical Outcomes and Recurrence Rates in 365 Patients (2025) · cites this paper as Cagici et al. [26]
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References 21 · Cited by 17
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Metadata
- Authors
- Cagici, C. A., Cakmak, O., Bal, N., Yavuz, H., & Tuncer, I.
- Affiliations
- Departments of Otorhinolaryngology (Drs Cagici, Cakmak, and, Yavuz) and Pathology (Drs Bal and Tuncer), Baskent University Faculty of Medicine, Ankara, Turkey.
- Venue
- Archives of Facial Plastic Surgery
- Publisher
- SAGE Publications
- Published
- 2008-03-03
- Volume
- 10
- Issue
- 2
- Pages
- 124-129
- ISSN
- 1521-2491 (ISSN-L)
- 1538-3660
- OpenAlex
- W2124689960
- Cited by
- 17
- References
- 21
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 2 · 2017: 1 · 2015: 1 · 2014: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Facial Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- suture materials, auricle, catgut suture, polyglactin 910, polydioxanone, polypropylene suture, absorbable sutures, foreign body reaction, rabbit model
- MeSH terms
- Animals, Catgut, Ear Cartilage, Foreign-Body Reaction, Polyglactin 910, Polypropylenes, Rabbits, Suture Techniques, Sutures, Polydioxanone
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