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November 1988

Wound Tension in RhytidectomyA Preliminary Report

Author Affiliations

From the Otolaryngology—Head and Neck Surgery Service, Walter Reed Army Medical Center, Washington, DC (Dr Burgess); and Division of Otolaryngology—Head and Neck Surgery, Stanford (Calif) University Medical Center, and Palo Alto (Calif) Veterans Administration Medical Center (Drs Lau, Glenn, and Goode).

Arch Otolaryngol Head Neck Surg. 1988;114(11):1280-1287. doi:10.1001/archotol.1988.01860230074028

• In superficial musculoaponeurotic system (SMAs) suspension procedures in rhytidectomy, skin closing tension seems to be lower at the main anchor points than with non-SMAS procedures. To evaluate this clinical impression, a preliminary investigation into the effect of SMAS suspension on wound closing tension was undertaken. Intraoperatively, skin closing tension was compared with and without SMAS plication sutures at the two key anterior and posterior skin anchor points. Results confirmed decreased tension with SMAS plication. Anteriorly in the temporal part of the scalp, a significant difference of 87 g was demonstrated. Posteriorly in the occipital hairline, a significant difference of 96 g was demonstrated. Individual differences in tension were more pronounced in patients with prominent SMAS laxity than in those patients with mild laxity.

(Arch Otolaryngol Head Neck Surg 1988;114:1280-1287)