References

IJMABHR

International Journal of Medical and All Body Health Research

IJMABHR

2582-8940

Anfo Publication House

500

10.54660/IJMBHR.2026.7.3.21-27

Knotless Barbed Suture Versus Conventional Polydioxanone Suture Material for Subcuticular Closure in Maxillofacial Surgeries - A Randomized Controlled Trial

Lunawat

Praful

GVS

Sudhakar

Asher

Pranav

Bezalwar

Abhishek

Aher

Sharvika

Raghuwanshi

Shreya

Jain

Swapnil

Bamane

Neha

1Department of Oral and Maxillofacial Surgery, SMBT Institute of Dental Sciences and Research, Dhamangaon, Nashik, Maharashtra, India

02072026

7 3 21 27 04052026 03062026

CC BY-NC-SA 4.0

Background and Aim: Efficient and aesthetically pleasing wound closure is exceptionally important in the field of maxillofacial surgery. The primary aim of this study is to compare standard skin closure techniques using knotless barbed sutures versus conventional polydioxanone (PDS) suture materials. Objectives: The primary objectives are to evaluate the efficacy of wound healing, to evaluate the rates of associated complications, and to evaluate the intraoperative time required by the surgeon to perform the suture. Secondary objectives involve evaluating suture resorption rates and patient satisfaction. Methodology: This study is a prospective randomized controlled trial. A total of 20 patients requiring extra-oral maxillofacial incisions greater than 6 cm in length were recruited. Participants were randomly divided into two equal groups (n=10). The control group received conventional 4-0 or 5-0 PDS, and the test group received knotless barbed 4-0 or 5-0 PDS. Wound healing was evaluated using the Early Wound Healing Score (EHS) and the Landry, Turnbull, and Howley (LTH) Healing Index. Results: The mean subcuticular closure time was significantly reduced in the barbed suture group (8.4 ± 1.2 minutes) compared to the conventional PDS group (14.6 ± 1.8 minutes) (p

Knotless barbed suturesPolydioxanone (PDS)Maxillofacial surgeryWound healingRandomized controlled trial

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