Use of Barbed Sutures for Fixation of Spreader Grafts in Rhinoplasty: A Novel Technique
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Barbed suture technology has evolved over the past decade resulting in a variety of new techniques and improved technologies for better fixation of soft tissues throughout the body. The use of barbed suture in facial reconstruction and for cosmetic purposes has been well described. However, the use of this material for fixation of spreader grafts in rhinoplasty has, heretofore, not been reported. This novel technique has improved the efficiency of spreader graft fixation in rhinoplasty, reduces cost and operating time and has a short learning curve.Dr. Gregory Ruff first developed the concept of placing microscopic barbs along the length of suture in order to provide a more stable fixation for soft tissues in plastic and reconstructive surgery [1]. His technology advancements were further developed by Angiotech Pharmaceuticals Inc., with the development of the Quill™ suture retention system for wound closure. In 2007, absorbable barbed sutures became available for commercial use and these have been used in all surgical specialties for soft tissue fixation over the past decade [2]. Covidien™ and Ethicon™ have both developed their own barbed suture technologies. These are all variations of a similar theme. They alter a smooth suture with microscopic barbs to allow improved fixation. Quill™ SRS utilizes bidirectional barbed sutures along the length of a monofilament fibre suture that changes direction at its midpoint. Surgical Specialties, ™Inc., took over production and distribution of Quill™, and also offers unidirectional suture products.
Authors and Affiliations
Allen D Rosen
Keywords
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- EP ID EP581475
- DOI 10.26717/BJSTR.2017.01.000590
- Views 154
- Downloads 0
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