Trial Comparing Cosmetic Outcomes of Pediatric Laceration Closure Using Skin Glue, Medical Tape Versus Stitches

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-23

Study Completion Date

2021-02-01

Brief Summary

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There are several methods of closing a skin cut: stitches, skin glue, and medical tape. Stitches have been used for a long time to close skin cuts. Skin glue (invented in the 1970s) and medical tape (invented in the 1960s) are two newer methods to close skin cuts. The purpose of this study is to find out which method (stitches, skin glue, or medical tape) of closing skin cuts results in the least amount of scarring. Other things the investigators will be looking at are which method is the cheapest, which causes the least pain, which requires the least amount of sedation, and which method patients and parents like the best.

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Detailed Description

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When a child comes in to the Emergency Room with a skin cut, if the child and their parents consent to being in the study, they will be randomly assigned to one of three groups: stitches, skin glue, or medical tape. There will be about 30 kids in each group, and thus a goal of 90 kids total in the study.

In the Emergency Room, a lidocaine ointment will be placed on the child's cut to decrease pain. The cut will be cleaned out with sterile saline. Then, depending on which method is used, the cut will be closed with either stitches, skin glue, or medical tape by their doctor. The participants will be asked to answer a short questionnaire. Finally, they will be given discharge instructions and sent home. At 3 months, the investigators will call parents for a quick questionnaire over the phone and parents will be asked to take a picture of the patient's scar and send it to the study staff.

Once all 90 pictures have been collected, two Plastic Surgeons will be asked to rate the scars in terms of how they look. The Plastic Surgeons will not know which method was used to close which cut. Once all of the scars have been rated, the averages of scars will be compared for each closure method. The investigators will also look at how much each method cost, how much extra pain medications or sedation each group used, and which method was liked best.

Conditions

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Laceration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

The Plastic Surgeons who rate all scars at the end of the study are blinded to the closure method.

Study Groups

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Absorbable Sutures

Patients will have their laceration closed with sutures that absorb on their own and do not need to be removed.

Group Type ACTIVE_COMPARATOR

Absorbable Sutures

Intervention Type PROCEDURE

The patient's doctor will close the patient's laceration with absorbable sutures.

Steri-Strips

Patients will have their laceration closed with a special medical tape called "Steri-Strips."

Group Type EXPERIMENTAL

Steri-Strips

Intervention Type PROCEDURE

The patient's doctor will close the patient's laceration with Steri-Strips.

Dermabond

Patients will have their laceration closed with a special skin glue called "Dermabond"

Group Type EXPERIMENTAL

Dermabond

Intervention Type PROCEDURE

The patient's doctor will close the patient's laceration with Dermabond.

Interventions

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Absorbable Sutures

The patient's doctor will close the patient's laceration with absorbable sutures.

Intervention Type PROCEDURE

Steri-Strips

The patient's doctor will close the patient's laceration with Steri-Strips.

Intervention Type PROCEDURE

Dermabond

The patient's doctor will close the patient's laceration with Dermabond.

Intervention Type PROCEDURE

Other Intervention Names

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Stitches Medical tape Skin glue

Eligibility Criteria

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Inclusion Criteria

* Medical complaint of laceration
* Single, linear laceration
* Laceration less than 5 cm in length and 0.5 cm in width
* Laceration less than 12 hours old
* Laceration minimally contaminated (no visible dirt in wound)
* Parents and child speak English

Exclusion Criteria

* Significant medical history that may impact wound healing (hematologic or oncologic diagnosis requiring chemotherapy, ichthyosis, epidermolysis bullosa, etc.)
* Use of oral steroids (more than 5 days in the past month)
* History of keloid formation
* Allergy to skin glue, medical tape, or topical anesthetics
* Lacerations requiring deep sutures
* Lacerations caused by animal bites or scratches
* Lacerations located on the scalp, eyebrow, eyelid, lip, mucosa, joint or nail bed
* No access to photographic capabilities (camera or smartphone) and/or e-mail, OR unable to return to the Vanderbilt Children's Hospital Emergency Room to have a picture taken at 3 months

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No