Comparing Tie-Over Bolster Dressing and Standard Sutures for Head and Neck Surgical Wounds to Improve Scar Appearance

What this Trial Is About

This trial investigates the use of a tie-over bolster dressing to reduce scarring after surgery on the head and face. Researchers want to see if applying this special gauze over stitches on half of a surgical wound can improve healing and reduce scar formation. The study focuses on patients undergoing cutaneous surgery with primary closure on the head or neck, aiming to compare traditional stitches with this bolster dressing method. Participants will have their surgical wound closed with standard stitches on one side, while the other side will receive stitches plus a tie-over bolster dressing secured by non-absorbable sutures. This bolster applies pressure to stabilize the wound and reduce tension, which may help minimize scar appearance. The study uses a randomized, single-blind, split-wound design, allowing each participant to serve as their own control. During the study, participants will be assessed at 3 months post-surgery using the Patient Observer Scar Assessment Score POSAS to evaluate scar appearance from both observer and patient perspectives. Scar width will also be measured, and any complications or adverse events related to treatment will be recorded. Participants must be willing to return for follow-up visits to complete these outcome assessments and monitor healing progress.

Aesthetic Outcome of Tie-over Bolster Application in Surgical Wounds