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Plastic and Reconstructive Surgery

Single-Layer Versus Double-Layer Closure of Facial Lacerations: A Randomized Controlled Trial

Adam J. Singer, MD; Janet Gulla, RN; Michele Hein, PA; Scott Marchini, PA; Stuart Chale, MD; Balvantry P. Arora, MD

Background:  The objective of this study was to compare the cosmetic outcome of facial lacerations closed with a single or double layer of sutures.

Methods:  Patients aged 1 year or older presenting to a university-based emergency department with nongaping (width, < 10 mm), simple, nonbite, facial lacerations were randomized to closure with a single layer of simple interrupted 6-0 polypropylene sutures or a double layer of simple interrupted 6-0 polypropylene plus inverted deep dermal 5-0 polyglactin sutures. At 90 days, the scar width and cosmetic appearance were determined using a validated 100-mm visual analogue scale ranging from 0 (worst) to 100 (best) and a validated wound evaluation score ranging from 0 (worst) to 6 (best).

Results:  . . . [Full Text of this Article]