TY  - JOUR
TT  - PURSE STRING SUTURE METHOD FOR LARGE DEFECTS ON TEMPLE AREA
AU  - Yazar, Şükrü
AU  - Kılıç, Berna
AU  - Gökkaya, Ali
PY  - 2007
DA  - December
JF  - Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi
JO  - turkplastsurg
PB  - Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği
WT  - DergiPark
SN  - 1300-6878
SP  - 144
EP  - 149
VL  - 15
IS  - 3
KW  - “purse-string” sütur
KW  - Şakak bölgesi onarımı
KW  - Deri kanser cerrahisi
N2  - Excision of skin cancers in the head and neck region usually results in a circular or oval defect. There are five options for treating the wound; healing by secondary intention, primary closure, skin grafting, local skin flap, and microsurgical free tissue transfers. Large surgical defects on the face can often be difficult to repair. The purse-string suture may be used in such superficial large defects, reducing the amount of skin flap or graft required. It is particularly suited to defects where the skin is lax. Between February 2005 – August 2006, seven skin defects occurred after tumor excision on temple area were reduced with tightening purse string suture, and the remaining areas were covered with full-thickness skin grafts. All defects were considerably reduced in size and required a small skin graft to complete the reconstruction. Initially many redundant skin folds and considerable local distortion were seen, however these improved with time. No significant complications were observed. The final cosmetic outcome of this closure was found satisfactory. The technique is simple, inexpensive, and the cosmetic results are acceptable for partial closure of surgical defects in appropriately selected cases.
CR  - 1. Patel KK, Telfer MR, Southee R. “round block” purse-string suture in facial reconstruction after operations for skin cancer surgery. Br J Oral Maxillofac Surg 2003;41:151-6.
CR  - 2. Weisberg NK, Greenbaum SS. Revisiting the purse-string closure: some new methods and modifications. Dermatol Surg 2003;29:672-6.
CR  - 3. Ciatti S, Greenbaum SS. Modified purse-string closure for reconstruction of moderate / large surgical defects of the face. Dermatol Surg 1999;25:215-9.
CR  - 4. Mankani MH, Mathes S.Forehead reconstruction. Mathes S Editör).Plastic Surgery Volume 3. Second edition. Philadelphia, Saunders Elsevier. 2006;699-732.
CR  - 5. Peled IJ, Zagher U, Wexler MR. Purse-string suture for reduction and closure of skin defects. Ann Plast Surg 1985;14:465-9.
CR  - 6. Tighe JV, Visavadia BG, Brown AE, Lavery KM.  Purse-string closure of a donor defect in the radial forearm. B r J Oral Maxillofac Surg 2006;44:60-1.
CR  - 7. Mulliken JB, Rogers GF, Marler JJ. Circular excision of hemangioma and purse-string closure: the smallest possible scar. Plast Reconstr Surg. 2002;15;109:1544-54.
CR  - 8. Brady JG, Grande DJ, Katz AE. The purse-string suture in facial reconstruction. J Dermatol Surg Oncol; 1992;18:812–6.
CR  - 9. Tremolada C, Blandini D, Beretta M, Mascetti M. The “round block” purse-string suture: a simple method to close skin defects with minimal scarring.  Plast Reconstr Surg 1997;100:126-31.
CR  - 10. Yuen JC. Versatility of the subcuticular purse-string suture in wound closure. Plast Reconstr Surg 1996;98:1302-5.
CR  - 11. Romiti R, Randle HW. Complete closure by pursestring suture after Mohs micrographic surgery on thin, sun-damaged skin. Dermatol Surg 2002;28:1070-2.
CR  - 12. Kilic A. Presutured purse-string suture and second purse-string suture for both reduction and closure of skin defects. Plast Reconstr Surg 2002;15;109:1758-60.
CR  - 13. Freund RM. Scalp, calvarium, and forehead reconstruction. Aston SJ, Beasley RW, Thorne CHM (Editörler). Grabb and Smith’s Plastic Surgery. Fifth edition. Philadelphia, Lippincott- Raven. 1997;473-482.
UR  - https://dergipark.org.tr/tr/pub/turkplastsurg/issue//247437
L1  - https://dergipark.org.tr/tr/download/article-file/215239
ER  -