Patient Preferences Comparing Linear Versus Purse String Closures in Dermatologic Surgery Utilizing a Novel Simulator-Based Educational Tool

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Margaret C GreenJason D Marquart

Abstract

Patients often query in regard to cosmetic outcomes after cutaneous surgery. This study provides information on this topic by surveying preference on 2 skin closure methods, purse and linear. The authors used a novel method to poll opinions by incorporating simulated skin within the context of the survey. To determine patient's preference for linear or purse string closure. Additional outcomes were to survey patient's opinions regarding which scar characteristics have the highest cosmetic impact, the cosmetic importance of a scar, and the utility of simulators, and patient photographs as methods of understanding closure techniques. Participants were prospectively recruited to complete a survey. Data outcomes were analyzed using descriptive statistics and the chi-square test of association. About half of the participants (54.7%) preferred linear closure. Preference was independent of gender (p = .90) or having a prior linear or purse string closure (p = .17). Patient photographs were the most influential for determining preference according to 86.2% of participants; however, 88% of the participants found simulator devices useful for educational purposes. The methods in this survey may represent a venue for educating patients and...Continue Reading

References

May 23, 2006·Emergency Medicine Australasia : EMA·Tatiana Lowe, Richard Paoloni
Jun 25, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Huang Lin, Wenzhi Li
Aug 16, 2011·Journal of the American Academy of Dermatology·Douglas J Fife, Murad Alam
Mar 16, 2012·Journal of Cutaneous Medicine and Surgery·Jian-Wei ZhuMin Zheng

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