Scalpel Versus Diathermy In Wound Healing Following Mucosal Incisions: A Split Mouth Study

Publication date: Available online 4 January 2018
Source:Journal of Oral and Maxillofacial Surgery
Author(s): P U Abdul Wahab, Madhulaxmi Marimuthu, Senthil Nathan Periyasamy, Muthusekhar Marimuthu Ramaswamy, Yogaen Vohra, Abhinav Rajendra Prabhu
AimThe aim of this study was to analyse and compare the healing of scalpel and diathermy incision wounds in oral mucosa.MethodsThis is a prospective split-mouth study conducted from January 2015 to April 2017 among patients undergoing either Lefort 1 or anterior maxillary osteotomy or both. The study groups were classified based on the different techniques used to make the incision [Group A, incision made by scalpel; Group B, incision made by diathermy]. The wound healing was assessed on the 1^st, 3^rd, 7^th and 10^th postoperative days using the Southampton scoring system. Data was statistically analysed using student's t-test for continuous variables, χ² test for categorical variables and a p value < 0.05 was considered significant.ResultsOf the 113 participants who were included in the study, the age range was between 16 and 35 years and 50.4 % were men. Post-operative complications of wound healing were 68.1% (n=77) and 77% (n=87) in group A and group B respectively. Wound healing showed statistical significant difference between both techniques (p<0.001).ConclusionThe findings of the present study suggest that wound caused by scalpel incisions healed better than that compared to diathermy incisions in the oral mucosa.



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