{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:13:34Z","timestamp":1787760814626,"version":"build-2784847793"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"13","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Izmir Bakircay University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Columellar scarring remains an important aesthetic concern in open septorhinoplasty, and while multiple studies have compared absorbable and non-absorbable sutures, the specific effects of slowly absorbable polydioxanone (PDS) on long-term scar outcomes have not been previously investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Ninety-six patients undergoing primary septorhinoplasty between January 2023 and January 2024 were randomly assigned to the PDS (\n                      <jats:italic>n<\/jats:italic>\n                      = 47) or Prolene (\n                      <jats:italic>n<\/jats:italic>\n                      = 49) groups. Patients with prior nasal surgery or systemic connective tissue disorders were excluded. Scar appearance was evaluated one year postoperatively using the Stony Brook Scar Evaluation Scale (SBSES) and a 0\u2013100 visual analog scale (VAS) rated by both patients and a blinded otolaryngologist.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no statistically significant differences in patient VAS scores (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.326), physician VAS scores (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.055), or SBSES scores (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.41) between the groups. Confidence-interval\u2013based non-inferiority analyses supported non-inferiority for physician-rated VAS, whereas patient-rated VAS and SB total were close to the prespecified margins.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PDS sutures yield comparable aesthetic outcomes to Prolene and offer the additional benefits of absorbability and sustained tensile strength. They may be preferable in cases where long-term support is needed or where suture removal may cause discomfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence I<\/jats:title>\n                    <jats:p>\n                      This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-05852-w","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T18:49:25Z","timestamp":1776106165000},"page":"4900-4905","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Polydioxanone and Polypropylene Sutures in Columellar Incision Closure: A Prospective Randomized Clinical Trial"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0189-8302","authenticated-orcid":false,"given":"Tankut","family":"Uzun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eray","family":"Uzuno\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Ekrem","family":"Zorlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berrak","family":"Karatan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Togay","family":"M\u00fcderris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"issue":"3","key":"5852_CR1","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1097\/00006534-199703000-00039","volume":"99","author":"JH Sheen","year":"1997","unstructured":"Sheen JH. Closed versus open rhinoplasty\u2014and the debate goes on. Plast Reconstr Surg. 1997;99(3):859\u201362.","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"5852_CR2","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1097\/SCS.0b013e3181ace082","volume":"20","author":"S Inanli","year":"2009","unstructured":"Inanli S, Sari M, Yanik M. A new consideration of scar formation in open rhinoplasty. J Craniofac Surg. 2009;20(4):1228\u201330.","journal-title":"J Craniofac Surg"},{"key":"5852_CR3","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1007\/s00266-016-0649-2","volume":"40","author":"B Alinasab","year":"2016","unstructured":"Alinasab B, Haraldsson P-O. Rapid resorbable sutures are a favourable alternative to non-resorbable sutures in closing transcolumellar incision in rhinoplasty. 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Also none of the authors have a conflict of interest and disclosures.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the local clinical research ethics committee in Bakircay University (25\/10\/2023-1268). This study was conducted according to the World Medical Association Declaration of Helsinki.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from all patients.","order":3,"name":"Ethics","label":"Informed Consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}