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The horizontal mattress stitch is a suture technique used to close wounds.It everts skin well and spreads tension along the wound edge. [1] [2] [3] This makes it ideal for holding together fragile skin [4] as well as skin under high tension such as the distant edges of a large laceration or as the initial holding suture in complicated repairs.
The cartilage is left completely intact, that is, it is not scored, cut or excised as in the ear pinning technique of Stenström, Converse and versions deriving from these. The skin is then closed with sutures and sometimes a drainage tube is inserted for 1 to 2 days. A head bandage is applied for 1 or 2 weeks, or longer in exceptional cases.
Other stitches or suturing techniques include: Purse-string suture, a continuous, circular inverting suture which is made to secure apposition of the edges of a surgical or traumatic wound. [13] [14] Figure-of-eight stitch; Subcuticular stitch. A continuous suture where the needle enters and exits the epidermis along the plane of the skin.
Stapedectomy is a surgical procedure in which the stapes bone is removed from the middle ear and replaced with a prosthesis.. If the stapes footplate is fixed in position, rather than being normally mobile, the result is a conductive hearing loss.
This antihelix plastic surgery is performed with the incision-suture technique. A long incision is made on the back of the ear and a strip of skin is removed. The cartilage is completely cut through in several places. With thick cartilage, the back of the antihelix is made thinner by using a scalpel to remove cartilage.
The corner stitch is a common suture technique. [1] It used to close wounds that are angled or Y-shaped without appreciably compromising blood supply to the wound tip. [2] [3] The corner stitch is a variation of the horizontal mattress stitch, and is sometimes called the "half-buried horizontal mattress stitch". [4]
The suture suspension techniques are described to lift, if necessary to form volume and to correct position of soft tissue without traditional incisions. The techniques consist of passing closed sutures , [ 3 ] by needle perforations only, to lift movable fascias and fix them to non movable skeletal structures [2] in several facial and body areas:
The vertical mattress stitch is most commonly used in anatomic locations which tend to invert, such as the posterior aspect of the neck, and sites of greater skin laxity such as the closure of lax skin after removing a dermoid cyst or reduced subcutaneous tissue (e.g., the shin) that do not provide adequate subcutaneous tissue for dermal closure. [6]