Suzan BAYER, Nihat DEMİRTAŞ, Hakkı KAZANCIOĞLU

MAKSİLLOFASİYAL CERRAHİDE KULLANILAN DİKİŞ MATERYALLERİ: DERLEME

Maksillofasiyal cerrahide dikiş materyalleri; operasyonun son fazında yara kenarlarını yaklaştırarak stabilize etmek, kanama kontrolü sağlamak ve iyileşmeyi arttırmak için kullanılmaktadır. Tarih boyunca, absorbe edilebilen ve edilemeyen bir çok dikiş materyali kullanılmıştır. Katgüt, poliglikolik asit, poliglaktin, polidioksanon, poliglikonat, poliglekapron- 25 absorbe olabilen süturlar arasında bulunmaktadır. İpek, naylon, keten, pamuk, polyester, paslanmaz çelik, polibutester, polietilen ve polipropilen ise absorbe olamayan süturlar arasında yer almaktadır. Bu literatür derlemesinde, ağız ve çene cerrahisinde sıklıkla kullanılan dikiş materyallerinin karakteristik özelliklerini gözden geçirmek amaçlandı. Sonuç olarak, dikiş materyalinin operasyon türüne, materyalin doku reaksiyonuna, bakteri invazyonuna, fiziksel ve biyouyumluluk karakterine göre seçilmesinin gerekliliği gözlemlendi.

Anahtar Kelimeler:

Çene cerrahisi, dikiş materyalleri, yara iyileşmesi

SUTURE MATERIALS IN MAXILLOFACIAL SURGERY: A LITERATURE REVIEW

In maxillofacial surgery, suture materials are being used toapproximate and stabilize wound lips, to promote haemostasis and to improve healing at the last phase of the operation. Throughout the history, many kinds of absorbable and non-absorbable suture materials are used. Absorbable sutures include catgut, polyglycolic acid, polyglactin, polydioxanone, polyglyconate and poliglecaprone 25. Non-absorbable sutures include silk, nylon, linen, cotton, polyester, stainless steel, polybutester, polyethylene and polypropylene. The purpose of this literature review was to identify the characteristic features of suture materials which are generally used in oral and maxillofacial surgery. In conclusion, it was observed that the suture material should be selected based on operation type, tissue reaction, bacterial invasion and the physical and biocompatibility characters of the material

Keywords:

Oral surgery, suture materials, wound healing,

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