Comparison of scar outcomes of alar flare region using absorbable and non-absorbable sutures: a single-blind study

Objective: Formation of scar on the face after septorhinoplasty may disturb the patient due to cosmetic concerns. One of the main factors affecting scar outcomes is probably the suture material used. The aim of this study was to examine the effect of different suture materials on scar outcomes of alar base in patients undergoing septorhinoplasty. Methods: Thirty-one patients who underwent alar base intervention during primary septorhinoplasty were divided into two groups according to the suture material used as the Polypropylene group (n = 16), (Polypropylene, Prolene 6/0; Ethicon Inc., Somerville, NJ, USA) and the Polyglactin group (n = 15), (Irradiated polyglactin 911, Vicryl Rapid™ 6/0; Ethicon Inc., Somerville, NJ, USA). The scar outcomes of alar base were compared between the Polypropylene and Polyglactin groups. The modified Stony Brook Scar Evaluation Scale was used to measure wound healing results at one and 12-months postoperatively for objective evaluation. Patient satisfaction questionnaire was used for subjective evaluation. Results: There were no statistically significant differences in the Stony Brook Scar Evaluation Scale and patient questionnaire scores between Polypropylene and Polyglactin groups. Irradiated Vicryl Rapid had poor cosmetic outcomes in the alar base when compared to polypropylene, indicating no statistically significant difference. Conclusion: Both sutures can be used for closure of alar base considering their advantages and disadvantages, in patients undergoing septorhinoplasty. Level of evidence: Treatment Benefits; Level 2 (Randomized Trial)

Evaluation of nasal allergy with symptomatology and skin prick test in the children having chronic otitis media with effusion

In this study, the children, who has chronicotitis media with effusion were investigated according tosymptomatology of allergic rhinitis and skin prick test andcoexistence of allergic rhinitis.Materials and methods: This study included 65 pediatricpatients who consisted of 43 patients with EOM and 22people without otitis media with effusion between October2010 and May 2011. History, physical examination, laboratorywork up was noted to form papers. People werequestioned according to symptomatology of allergic rhinitis.Skin prick tests were done and results were noted.Results: At the end of study, significant differences werefound between groups symptomatologically (p0,05), the frequencyof positive skin prick test were higher in patients thancontrol subjects.Conclusion: When the etiology of chronic otitis mediawith effusion investigated, it must be considered that patientsshould be questioned for allergic rhinitis.Key words: Otitis media with effusion, allergic rhinitis,skin prick tes