From the Guidelines
Eyebrow or eyelid sutures should typically be removed within 5-7 days after placement. When considering the removal of eyebrow or eyelid sutures, it's essential to prioritize the patient's morbidity, mortality, and quality of life. The provided evidence does not directly address the removal of eyebrow or eyelid sutures, but general medical knowledge suggests that early removal is crucial in these facial areas to minimize scarring 1. For eyelid sutures specifically, removal at 5 days is often ideal to minimize scarring, while eyebrow sutures can sometimes remain for up to 7 days. Key considerations for suture removal include:
- The skin around the eyes has excellent blood supply, which promotes rapid healing but also makes it more susceptible to suture mark formation
- Patients should keep the area clean and avoid touching or rubbing the sutures before removal
- After suture removal, the healing wound should be protected from sun exposure for several months to minimize scar visibility
- If there are signs of infection such as increasing redness, swelling, pain, or discharge before the scheduled removal time, medical attention should be sought immediately. In the context of the provided evidence, which focuses on corneal ectasia and postsurgical care, the general principle of minimizing scarring and promoting wound healing is still relevant, although the specific details may vary depending on the individual case 1.
From the Research
Suture Removal Timing
- The timing of suture removal depends on the location and type of wound, as well as the type of sutures used 2.
- For non-absorbable sutures, removal is typically recommended once the wound has sufficiently healed to prevent complications and ensure optimal cosmetic results 2.
- In the case of eyelid sutures, the removal time may vary, but one study suggests that sutures can be removed between 7 to 14 days after surgery 3.
- Another study found that elective removal of 7-0 chromic sutures was performed 9 to 27 days after surgery 4.
Factors Influencing Suture Removal
- The decision to remove sutures should be based on the individual patient's healing progress and the risk of complications 2.
- The use of absorbable sutures can eliminate the need for suture removal, reducing the number of postoperative hospital visits 5.
- The type of closure technique used, such as single-layered or double-layered, may also influence the timing of suture removal 6.
Considerations for Eyelid Sutures
- When removing eyelid sutures, it is essential to consider the risk of complications, such as corneal abrasion or eyelid malposition 4, 3.
- The use of aseptic non-touch technique (ANTT) is recommended for suture removal to minimize the risk of infection 2.
- Nurses undertaking suture removal must have the knowledge and skills to perform the procedure safely and effectively 2.