Facial Laceration
Conditions
Keywords
facial laceration, pediatric, dermabond, skin glue, steristrips, skin adhesive, scar, cosmesis
Brief summary
The purpose of the study is to compare cosmetic outcomes of simple facial lacerations in children repaired with Dermabond (skin glue) compared with Dermabond (skin glue) with underlying steristrips (skin adhesive strips).
Interventions
Laceration repaired with Dermabond with underlying steristrips
Laceration repaired with Dermabond
Sponsors
Study design
Intervention model description
Experimental group: Dermabond with underlying steristrips. Control group: Dermabond alone
Eligibility
Inclusion criteria
* Age ≤17 years old * Presents with simple, linear facial laceration requiring repair * English or Spanish speaking parents or guardians
Exclusion criteria
* Laceration to lips, nose, ear, eyelids, eyebrows * Laceration requiring multi-layer closure * Laceration requiring sub-specialty care * Laceration that has previously been repaired * Animal/human bites * Lacerations \>5cm in length * Allergy to adhesive
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cosmesis | 2 months after repair | cosmetic scar outcome; photo will be taken of scar at 2 months and graded using a visual analog scale (VAS) by blinded reviewers. The VAS is a 0-100mm standardized scale where 0mm represents the worst scar and 100mm represents the best scar and reviewers will place a marking along the line of where they feel the scar belongs. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to repair laceration | Day 0 (physician will complete just after the repair) | A stopwatch will be used to time how long it takes the physician to repair the wound |
| Ease of repair of laceration | Day 0 (physician will complete just after the repair) | Physicians will complete a VAS (visual analog scale) on how easy the laceration was to repair. The VAS is a 0-100mm scale where 0 will represent very easy and 100mm will represent very difficult to repair and the physician will mark along the scale. |
| Type of analgesia & sedation required | Day 0 (physician will complete just after the repair) | Physician will write down what types of analgesia they used and whether or not sedation was used after the repair is complete |
| Wound dehiscence | 1 week | Families will get a phone call at 1 week to discuss if this has occurred. The electronic medical record will also be reviewed. |
| Wound infection | 1 week | Families will get a phone call at 1 week to discuss if this has occurred. The electronic medical record will also be reviewed. |
Countries
United States