Comparison study between Time Duration of the Interrupted and and Continuous Suture Techniques Following Le Fort I Osteotomy (Comparison Clinical Study)

Abstract

Abstract

Background & Aim: Time is an important factor in the performance of various forms of work. The importance of time increases in surgical procedures in terms of  the vital aspects of the surgeon, the fitness of the surgeon, the anesthesia of the patient under general anesthesia, in addition to the general surgical cost, calculated in the minute, distributed to the operating room fees and surgical team fees in addition to the devices and anesthetics consumed in Time unit.Where the suturing  and closure of wounds in the surgery is a long time and a large part of the length of surgery may sometimes reach 25% of the time of surgical operation in full and therefore a clear reflection in the form of a decrease in the fitness of the surgeon and the quality of work in the final stages of the surgical operation in addition to the increase in the cost of work In general and an increase in anesthesia intensity on the patient. In the search for ways to reduce the length of time in the process of tailoring comes the change of suturing method as one of these means.

The Aim of the study : To evaluate and compare the time required for the completion of the interrupted suturing  and the continuous suturing  after the completion of the Le fort I in the maxillary.

Materials and Methods: The research sample consisted of 34 suturing  processes of 17 Le fort I fractures of the maxillary in 17 patients between 17 and 36 years of age. In each study, the suturing  was divided into two groups of two equal headings according to the suturing method used (interrupted suturing group, continuous suturing  group). Clinical results were then assessed.

Results: In terms of the time required to complete both types of interrupted  and continuous suturing  , the value of the significance level is much smaller than the value of 0.05, meaning that at the 95% confidence level there are statistically significant differences between the average time required to complete the interruptedsuturing  (in minutes) Continuous suturing  (in minutes) In the research sample, since the algebraic sign of the difference between the two averages is positive, we conclude that the time required to complete the interruptedsuturing  (in minutes) was greater than the time required to complete the continuous suturing  (in minutes).

CONCLUSIONS: Continuous suturing  is better in terms of saving time from interruptedsuturing  in the stitching of intraoral incisions. There was no difference in terms of suturing  results between continuous suturing  and interruptedsuturing  . The scar that is formed in continuous suturing  is similar to that of the interruptedsuturing  .