From the Research
For facial sutures, 6-0 Ethilon (nylon) is generally the best choice, as it provides excellent tensile strength while being fine enough to minimize scarring on the face, and is supported by its minimal tissue reaction and maintenance of strength throughout the healing period 1. When considering the best ethilon type for face sutures, it's essential to prioritize morbidity, mortality, and quality of life as the outcome. The choice of suture material can significantly impact the healing process and the final appearance of the scar.
- Key factors to consider include the suture's tensile strength, tissue reaction, and absorption rate.
- A monofilament nonabsorbable suture like Ethilon is often preferred for facial closure due to its excellent tensile strength and minimal tissue reaction.
- For particularly delicate areas around the eyes or lips, 7-0 Ethilon may be preferred due to its finer diameter and reduced visibility.
- When placing facial sutures, a simple interrupted technique with sutures placed 2-3mm apart is recommended, and sutures should be removed within 5-7 days to prevent track marks.
- Deep absorbable sutures like 5-0 Vicryl can be used for tension reduction before placing the final Ethilon sutures on the skin surface, as seen in studies comparing poliglecaprone-25 and polyglactin-910 2, 3.
- The black color of Ethilon provides good visibility against skin for easier removal, making it an ideal choice for facial closure.
- Proper wound cleaning, debridement if necessary, and consideration of deep absorbable sutures for tension reduction are crucial steps in ensuring optimal wound healing and minimizing complications.